Organization
ALLERGY SPECIALISTS OF PALM BEACHES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANUJA TIRUNAGARI VEDERE MD (PHYSICIAN OWNER)
(772) 335-7888
Entity
Organization
Contact information
Practice address
1801 SE HILLMOOR DR, C107, PORT ST LUCIE, FL 34952-7553
(772) 335-7888
(772) 335-0331
Mailing address
PO BOX 30425, PALM BEACH GARDENS, FL 33420-0425
(772) 335-7888
(772) 335-0331
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME76026
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255468203
—
FL
Enumeration date
02/06/2012
Last updated
02/06/2012
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