MEDICARE: ASTHMA & ALLERGY ASSOCIATES OF FL PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207KA0200X	Allergy Physician

General Provider Information

NPI Number	:	1184312324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTHMA & ALLERGY ASSOCIATES OF FL PA

Provider Business Mailing Address
First Line	:	7800 SW 87TH AVE STE C340
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3570
Country	:	US
Telephone Number	:	305-595-0109
Fax Number	:	502-371-6665

Provider Business Practice Location Address
First Line	:	2021 E COMMERCIAL BLVD STE 305
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-3769
Country	:	US
Telephone Number	:	954-492-5525
Fax Number	:	954-492-1755

Authorized Official
Title or Position	:	PROVIDER ENROLLMENT SPECIALIST
Name	:	PATRICIA MONTES
Credential	:	PROVIDER ENROLLMENT
Telephone Number	:	305-595-0109

Provider Enumeration Date	:	04/26/2023
Last Update Date	:	03/17/2026

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