Gulf Coast Allergy Center PA

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME84695 Issued in FL

Legal business name

GULF COAST ALLERGY CENTER PA

Practice address

3400 Tamiami TRL
Suite 201
Port Charlotte, FL 33952-8102

Phone

(941) 743-2277

Fax

(941) 743-2275

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Usha Chandrahasa, M.D.

Title

Physician

Phone

(941) 743-2277

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1588779482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494507",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339494507",
            "telephone_number": "941-743-2277",
            "fax_number": "941-743-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 TAMIAMI TRL",
            "address_2": "SUITE 201",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528102",
            "telephone_number": "941-743-2277",
            "fax_number": "941-743-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST ALLERGY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "CHANDRAHASA",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "941-743-2277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME84695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "17055",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandro J. Gruneiro, M.D.
• Laura Ann Gruneiro, M.D.
• John F Guarino, M.D.
• Jessica Leann Guerra, AP, DOM
• Daniel Guggino, LMHC
• Gulf Coast Anesthesia Associates Inc
• Gulf Coast Anesthesia Inc.
• Gulf Coast Chiropractic Center, P.a.
• Gulf Coast Emergency Physicians PA
• Gulf Coast Hearing Aid Centers Inc.

• Allergy & Immunology Physician in Port Charlotte, FL
• Providers in Port Charlotte, 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 Oct 22, 2007; 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.