Healthcare Provider Details

I. General information

NPI: 1841230323
Provider Name (Legal Business Name): BAY AREA ALLERGY & ASTHMA CONSULTANTS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 05/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2088 HAWTHORNE ST
SARASOTA FL
34239-2307
US

IV. Provider business mailing address

2088 HAWTHORNE ST
SARASOTA FL
34239-2307
US

V. Phone/Fax

Practice location:
  • Phone: 941-953-5050
  • Fax:
Mailing address:
  • Phone: 941-953-5050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberME77461
License Number StateFL

VIII. Authorized Official

Name: DR. EVA A BERKES
Title or Position: PRESIDENT
Credential: M.D.
Phone: 941-953-5050