Provider Demographics
NPI:1134824543
Name:ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA PA
Entity type:Organization
Organization Name:ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-654-4641
Mailing Address - Street 1:6160 N DAVIS HWY STE 3
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6967
Mailing Address - Country:US
Mailing Address - Phone:850-473-1121
Mailing Address - Fax:850-473-1122
Practice Address - Street 1:971 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-2803
Practice Address - Country:US
Practice Address - Phone:850-654-4641
Practice Address - Fax:850-654-9295
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty