Organization Active NPI

Windermere Allergy & Asthma,Inc

  • Allergy & Immunology Physician
  • Orlando, FL
National Provider Identifier
1447378054
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME68693 Issued in FL
Legal business name
WINDERMERE ALLERGY & ASTHMA,INC
Practice address
8946 Conroy Windermere Rd
Orlando, FL 32835-3128
Phone
(407) 876-1009
Fax
(407) 876-6742
NPI assigned
Mar 26, 2007
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Dr. Dana L Broussard-Perry, M.D.NPI 1306870530
Title
President
Phone
(407) 876-1009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME68693 FL Primary

Addresses

Primary practice location

8946 Conroy Windermere Rd
Orlando, FL 32835-3128

Mailing address

8946 Conroy Windermere Rd
Orlando, FL 32835-3128
Phone (407) 876-1009

National Provider Directory

National Provider Directory

Locations

8946 Conroy Windermere Rd
Orlando, FL 32835
Phone (407) 876-1009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1447378054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8946 CONROY WINDERMERE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353128",
            "telephone_number": "407-876-1009",
            "fax_number": "407-876-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8946 CONROY WINDERMERE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353128",
            "telephone_number": "407-876-1009",
            "fax_number": "407-876-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDERMERE ALLERGY & ASTHMA,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD-PERRY",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-876-1009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME68693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.