Ami Degala, PLLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

AMI DEGALA, PLLC

Practice address

34041 US Highway 19 N Ste D
Palm Harbor, FL 34684-2648

Phone

(727) 787-6744

Fax

(727) 786-3561

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Ami Degala, MD

Title

Managing Member

Phone

(919) 600-2459

Specialties & licenses 1

Addresses

Other names 1

• Inspiration Allergy & Asthma Care Other name

Locations

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1194366963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34041 US HIGHWAY 19 N STE D",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842648",
            "telephone_number": "727-787-6744",
            "fax_number": "727-786-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34041 US HIGHWAY 19 N STE D",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842648",
            "telephone_number": "727-787-6744",
            "fax_number": "727-786-3561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Forest Ct",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346833811",
            "country_code": "US",
            "telephone_number": "919-600-2459",
            "fax_number": "727-786-3561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMI DEGALA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "DEGALA",
        "authorized_official_first_name": "AMI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "919-600-2459",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspiration Allergy & Asthma Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Inspiration Allergy & Asthma Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Palm Harbor, FL
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.