Healthcare Provider Details

I. General information

NPI: 1376985622
Provider Name (Legal Business Name): SOUTH FLORIDA ALLERGY & ASTHMA SPECIALISTS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2013
Last Update Date: 10/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5458 TOWN CENTER RD SUITE 23
BOCA RATON FL
33486-1009
US

IV. Provider business mailing address

5458 TOWN CENTER RD SUITE 23
BOCA RATON FL
33486-1009
US

V. Phone/Fax

Practice location:
  • Phone: 561-672-7511
  • Fax: 561-287-4566
Mailing address:
  • Phone: 561-672-7511
  • Fax: 561-287-4566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KEVIN ANDREW STABILE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 561-672-7511