Healthcare Provider Details

I. General information

NPI: 1154367654
Provider Name (Legal Business Name): ALLERGY AND ASTHMA CARE OF FLORIDA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 04/10/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 SE 18TH ST SUITE 1002
OCALA FL
34471-5408
US

IV. Provider business mailing address

1740 SE 18TH ST SUITE 1002
OCALA FL
34471-5408
US

V. Phone/Fax

Practice location:
  • Phone: 352-622-1126
  • Fax: 352-622-2391
Mailing address:
  • Phone: 352-622-1126
  • Fax: 352-622-2391

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: MRS. LORA ANN MARRS
Title or Position: PRACTICE MANAGER
Credential: CPC, CPPM
Phone: 352-622-1126