Gulf Coast Allergy Center PA
NPI #1588779482 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1588779482
- Entity Type
- Organization
- Organization Name
- Gulf Coast Allergy Center PA
- Primary Specialty
- Allergy & Immunology
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Oct 22, 2007
Practice Location
- Address
- 3400 TAMIAMI TRL
- Address 2
- SUITE 201
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33952-8102
- Phone
- (941) 743-2277
Authorized Official
- Name
- DR. USHA CHANDRAHASA, M.D.
- Title
- PHYSICIAN
- Phone
- (941) 743-2277
Specialties & Taxonomy Codes
| Specialty |
|---|
| Allergy & Immunology |
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