Southcoast Allergy PA

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME78816 Issued in FL

Legal business name

SOUTHCOAST ALLERGY PA

Practice address

4400 E Highway 20
Suite 501
Niceville, FL 32578-8779

Phone

(850) 279-6520

Fax

(850) 897-1259

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Endre Kovacs, M.D.

Title

Owner

Phone

(850) 279-6520

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1508954470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 WREN WAY",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325787103",
            "telephone_number": "850-279-6520",
            "fax_number": "850-897-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E HIGHWAY 20",
            "address_2": "SUITE 501",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788779",
            "telephone_number": "850-279-6520",
            "fax_number": "850-897-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCOAST ALLERGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "KOVACS",
        "authorized_official_first_name": "ENDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-279-6520",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME78816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR.S MEDICAL LICENSE",
            "identifier": "ME78816",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Dominique Smith, PHARMD
• Kimberly Smith
• Mitchell Smith, PHARMD
• Joan Marie Sonnier, M.S. , RMFT I
• Rustin G Sorensen, PA-C
• Southern Breeze Healthcare
• Southland Emergency Medical Services of FL PL
• Spectrum House, Inc
• Speech at the Beach
• Rachel Sperry, OTD, OTR/L

• Allergy & Immunology Physician in Niceville, FL
• Providers in Niceville, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.