NPIMap

Organization Active NPI

Premier Allergist of Florida LLC

Doing business as Allervie Health

  • Allergy & Immunology Physician
  • Palm Coast, FL
National Provider Identifier
1801661095
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
9 Pine Cone Dr Ste 105
Palm Coast, FL 32137-8683
Phone
(386) 446-3006
Fax
(386) 446-2909
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 NU Primary

Addresses

Primary practice location

9 Pine Cone Dr Ste 105
Palm Coast, FL 32137-8683

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
Donna M Jamieson MD18 organizations share this tax ID, including this one
Part of
Donna M Jamieson MD

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": "1801661095",
    "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": "9 PINE CONE DR STE 105",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378683",
            "telephone_number": "386-446-3006",
            "fax_number": "386-446-2909"
        }
    ],
    "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allervie Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Coast, 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.