Allergy & Asthma Specialists of North Florida PA
Organization Active NPI Allergy & Immunology Physician · Orange Park, FL
NPI 1811041015 · NPPES record last updated Jun 25, 2010
Key facts
- NPI
- 1811041015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- ME86337 (FL)
- Legal business name
- ALLERGY & ASTHMA SPECIALISTS OF NORTH FLORIDA PA
- Practice address
- 1895 Kingsley Ave
Suite 401
Orange Park, FL 32073-4466 - Phone
- (904) 272-5251
- Fax
- (904) 276-0459
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Patrick Joseph Demarco III, MD
- Title
- Physician
- Phone
- (904) 272-5251
Practitioners 2
-
Thomas Lupoli, D.O
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070420000321 | FL | Part B Supplier - Clinic/Group Practice | 8527163468 |
Receives reassigned benefits from 2 practitioners Practice locations: Jacksonville, FL; Orange Park, FL |
National Provider Directory
Locations
12276 San Jose Blvd
Ste 733
Jacksonville, FL 32223
Phone (904) 730-4870
2255 Dunn Ave
Ste 205
Jacksonville, FL 32218
Phone (904) 730-4870
2804 Saint Johns Bluff Rd S
Ste 202
Jacksonville, FL 32246
Phone (904) 730-4870
3636 University Blvd S
Ste A3
Jacksonville, FL 32216
Phone (904) 730-4870
1825 Kingsley Ave
#320
Orange Park, FL 32073
1825 Kingsley Ave
Orange Park, FL 32073
1825 Kingsley Ave
Ste 320
Orange Park, FL 32073
Phone (904) 730-4870
1895 Kingsley Ave
Ste 401
Orange Park, FL 32073
Phone (904) 272-5251
Interoperability endpoints
- patrickdemarco@aasnfpa.allscriptsdirect.net
- tomlupoli@aasnfpa.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | ME86337 | FL | Yes |
| Allergy & Immunology Physician |
207K00000X | ME25318 | FL |
Addresses
Primary practice location
1895 Kingsley Ave
Suite 401
Orange Park, FL 32073-4466
Mailing address
1895 Kingsley Ave
Suite 401
Orange Park, FL 32073-4466
Phone (904) 730-4870
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730172370 | Other | FL | INDIVIDUAL NPI |
| 1174717276 | Other | FL | NPI |
| 1578598967 | Other | FL | INDIVIDUAL NPI |
Other providers in Orange Park, FL
- All Florida Respiratory LLC
- All Kids Care of Orange Park, LLC
- Martin Alla
- Jared Allen
- William S Allen Jr.
- Lisa Alleyne
- Alleyzee, Inc.
- Mary Rose A Alon-Alon
- Kathryn Alpahando
- Saul Ruben Alvarado Maldonado
All providers in Orange Park, FL · Allergy & Immunology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.