NPIMap

Organization Active NPI

Premier Allergist of Florida LLC

Doing business as Allervie Health

  • Allergy & Immunology Physician
  • Cape Coral, FL
National Provider Identifier
1700651999
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
Doing business as
Allervie Health
Practice address
3208 Chiquita Blvd S Ste 110
Cape Coral, FL 33914-4267
Phone
(239) 549-1398
Fax
(239) 542-7881
NPI assigned
Nov 17, 2023
Last updated
Nov 17, 2023By the provider in NPPES
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 Physician 207K00000X Primary

Addresses

Primary practice location

3208 Chiquita Blvd S Ste 110
Cape Coral, FL 33914-4267

Mailing address

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

Other names 1

  • Allervie Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2261932Premier Allergist of Florida, LLC3208 Chiquita Blvd S - Ste 110, Cape Coral, FL 33914Certificate of waiverJun 6, 2028

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": "1700651999",
    "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": "3208 CHIQUITA BLVD S STE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144267",
            "telephone_number": "239-549-1398",
            "fax_number": "239-542-7881"
        }
    ],
    "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": "",
            "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 Cape Coral, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.