Healthcare Provider Details

I. General information

NPI: 1740832799
Provider Name (Legal Business Name): ASPIRE ALLERGY & SINUS OF FLORIDA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31800 US HIGHWAY 19 N
PALM HARBOR FL
34684-3713
US

IV. Provider business mailing address

5929 BALCONES DR STE 200
AUSTIN TX
78731-4280
US

V. Phone/Fax

Practice location:
  • Phone: 855-845-7777
  • Fax:
Mailing address:
  • Phone: 512-368-8715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: JULIE SEREWICZ
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 512-628-5993