Provider Demographics
NPI:1861701401
Name:BAY AREA ALLERGY AND ASTHMA CONSULTANTS, P.A.
Entity type:Organization
Organization Name:BAY AREA ALLERGY AND ASTHMA CONSULTANTS, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:NOVAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-953-5050
Mailing Address - Street 1:2088 HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2307
Mailing Address - Country:US
Mailing Address - Phone:941-953-5050
Mailing Address - Fax:941-955-8931
Practice Address - Street 1:2068 HAWTHORNE ST
Practice Address - Street 2:SUITE 202
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2307
Practice Address - Country:US
Practice Address - Phone:941-953-5050
Practice Address - Fax:941-955-8931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty