ASTHMA ALLERGY & SINUS CLINIC PA (NPI# 1255460507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255460507 |
| Entity Type | Organization |
| Organization Name | ASTHMA ALLERGY & SINUS CLINIC PA |
| Practice Address |
353 N Clyde Morris Blvd Daytona Beach FL 32114-2732 |
| Practice Telephone | 3862526622 |
| Mailing Telephone | 3862526622 |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2010-08-24 |
| Authorized Official Name | DR. ROBERTO DI NICOLO (DIRECTOR) |
| Authorized Official Telephone | 3862526622 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | ME51694 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 257346600 | 05 |
| Street Address |
353 N CLYDE MORRIS BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518041748 | Advanced Prosthetics of America, Inc. | Prosthetic/Orthotic Supplier | 353 N Clyde Morris Blvd, Suite 2, Daytona Beach, FL 32114-2732 | 2006-10-24 |
| 1699956789 | Roberto Di Nicolo | Allergy & Immunology | 353 N Clyde Morris Blvd, Sute 1, Daytona Beach, FL 32114-2732 | 2007-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316935257 | Margaret Elizabeth Stock | Allergy & Immunology | 1445 Dunn Ave, Daytona Beach, FL 32114-1437 | 2005-10-13 |
| 1013909951 | Michael D Kohen | Allergy & Immunology | 709 N Clyde Morris Blvd, Daytona Beach, FL 32114-1603 | 2005-08-17 |
| 1699956789 | Roberto Di Nicolo | Allergy & Immunology | 353 N Clyde Morris Blvd, Sute 1, Daytona Beach, FL 32114-2732 | 2007-11-17 |
| 1447242151 | Michael A Diamond | Allergy & Immunology | 709 N Clyde Morris Blvd, Daytona Beach, FL 32114-1603 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419876 | North Star Allergy, Asthma, & Immunology, P.a. | Allergy & Immunology | 900 Carillon Pkwy Ste 301, St Petersburg, FL 33716-1115 | 2020-02-18 |
| 1528604253 | Mark Minor Md Pa | Allergy & Immunology | 2290 W Eau Gallie Blvd Ste 205, Melbourne, FL 32935-3145 | 2019-11-18 |
| 1194366963 | Ami Degala, Pllc | Allergy & Immunology | 40 Forest Ct, Palm Harbor, FL 34683-3811 | 2019-10-03 |
| 1407408586 | Priya Ahya | Allergy & Immunology | 817 S University Dr Ste 106, Plantation, FL 33324-3345 | 2019-07-10 |
| 1770143729 | Melissa Michelle Swertfeger | Allergy & Immunology | 6233 66th St N, Pinellas Park, FL 33781-5025 | 2019-06-20 |
| 1235612771 | Luis Enrique Morera | Allergy & Immunology | 21150 Biscayne Blvd Ste 408, Aventura, FL 33180-1250 | 2018-09-11 |
| 1215417191 | Allergy, Asthma and Immunology Specialists, LLC | Allergy & Immunology | 7100 Camino Real Ste 121, Boca Raton, FL 33433-5510 | 2018-08-20 |
| 1811475213 | Juan Guillermo Angel | Allergy & Immunology | 11880 Sw 40th St Ste 304c, Miami, FL 33175-3574 | 2018-07-30 |
| 1831682814 | Lake Allergy, Asthma and Immunology, Pa | Allergy & Immunology | 1822 Salk Ave, Tavares, FL 32778-4300 | 2018-06-13 |
| 1194191346 | Jo Ridley LLC | Allergy & Immunology | 16372 Hibiscus Rd, Brooksville, FL 34601-4352 | 2015-08-11 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.