Healthcare Provider Details

I. General information

NPI: 1699753079
Provider Name (Legal Business Name): ALLERGY & ASTHMA CONSULTANTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 07/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

793 DOUGLAS AVE
ALTAMONTE SPRINGS FL
32714-2566
US

IV. Provider business mailing address

793 DOUGLAS AVE
ALTAMONTE SPRINGS FL
32714-2566
US

V. Phone/Fax

Practice location:
  • Phone: 407-862-5824
  • Fax: 407-774-0464
Mailing address:
  • Phone: 407-862-5824
  • Fax: 407-774-0464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EUGENE F SCHWARTZ
Title or Position: PRESIDENT / M.D.
Credential: M.D.
Phone: 407-862-5824