Plantation Allergy LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PLANTATION ALLERGY LLC

Practice address

201 NW 82ND Ave
Suite 404
Plantation, FL 33324-7808

Phone

(954) 472-1212

Fax

(954) 473-6235

NPI assigned

Jan 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Herbert I Moselle, MD

Title

Owner

Phone

(954) 472-1212

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1104983535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE",
            "address_2": "SUITE 404",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247808",
            "telephone_number": "954-472-1212",
            "fax_number": "954-473-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE",
            "address_2": "SUITE 404",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247808",
            "telephone_number": "954-472-1212",
            "fax_number": "954-473-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION ALLERGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MOSELLE",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-472-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Pitter
• Lawrence Jay Pizik, RPH
• Andrea Castaneda Pla, MS, LMHC
• Andy S. Plaisir, PA-C
• Melissa Marie Plana-Barnes, OD
• Plantation ASC, LLC
• Plantation Chiropractic Services, Inc.
• Plantation Dental and Anesthesia Associates
• Plantation Dental Arts Associates, PA
• Plantation Dental Associates, PL

• All providers in Plantation, FL
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.