NPIMap

Organization Active NPI

Premier Allergist of Florida LLC

  • Allergy & Immunology Physician
  • Ormond Beach, FL
National Provider Identifier
1649045832
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
PREMIER ALLERGIST OF FLORIDA LLC
Practice address
785 W Granada Blvd Ste 4
Ormond Beach, FL 32174-5163
Phone
(386) 673-1323
Fax
(386) 676-7448
NPI assigned
Nov 17, 2023
Organization subpart
Yes
Parent organization
PREMIER ALLERGIST OF FLORIDA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Samuel Altman
Title
VP RCM
Phone
(469) 209-8355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

785 W Granada Blvd Ste 4
Ormond Beach, FL 32174-5163

Mailing address

4975 Preston Park Blvd Ste 800
Plano, TX 75093-5152
Phone (469) 209-8355

Other names 1

  • Allervie Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Allergist of Florida LLC18 organizations share this tax ID, including this one
Part of
Premier Allergist of Florida LLC

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1649045832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 PRESTON PARK BLVD STE 800",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935152",
            "telephone_number": "469-209-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 W GRANADA BLVD STE 4",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745163",
            "telephone_number": "386-673-1323",
            "fax_number": "386-676-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ALLERGIST OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER ALLERGIST OF FLORIDA LLC",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP RCM",
        "authorized_official_telephone_number": "469-209-8355"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allervie Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.