Asthma Allergy & Sinus Clinic PA
NPI #1255460507 in Daytona Beach, Florida
Provider Information
- NPI Number
- 1255460507
- Entity Type
- Organization
- Organization Name
- Asthma Allergy & Sinus Clinic PA
- Primary Specialty
- Allergy & Immunology
- Enumeration Date
- Mar 4, 2007
- Last Updated
- Aug 24, 2010
Practice Location
- Address
- 353 N CLYDE MORRIS BLVD
- City
- Daytona Beach
- State
- Florida
- ZIP Code
- 32114-2732
- Phone
- (386) 252-6622
Authorized Official
- Name
- DR. ROBERTO DI NICOLO, MD
- Title
- DIRECTOR
- Phone
- (386) 252-6622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Allergy & Immunology |
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