Healthcare Provider Details

I. General information

NPI: 1093779696
Provider Name (Legal Business Name): ALLERGY & ASTHMA ASSOCIATES OF SOUTH FLORIDA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 05/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9035 SUNSET DR SUITE 304
MIAMI FL
33173-3441
US

IV. Provider business mailing address

11880 SW 40TH ST SUITE 304
MIAMI FL
33175-3584
US

V. Phone/Fax

Practice location:
  • Phone: 305-279-3366
  • Fax: 305-271-3355
Mailing address:
  • Phone: 305-223-8808
  • Fax: 305-223-8974

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. JAIME LANDMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 305-223-8808