Healthcare Provider Details

I. General information

NPI: 1912998824
Provider Name (Legal Business Name): ALLERGY PARTNERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 RACETRACK RD NW STE 17
FT WALTON BCH FL
32547-1580
US

IV. Provider business mailing address

PO BOX 603725
CHARLOTTE NC
28260-3725
US

V. Phone/Fax

Practice location:
  • Phone: 850-863-1189
  • Fax: 850-863-1241
Mailing address:
  • Phone: 828-575-2625
  • Fax: 828-350-2174

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: DAVID A BROWN
Title or Position: PRESIDENT/CEO
Credential: MD
Phone: 828-277-1300