Plantation Allergy LLC
Otolaryngology in Plantation, FL. Organization (NPI-2).
NPI number1104983535
StatusActive
Last updated in NPPESJun 23, 2008
Details
- NPI
- 1104983535
- Entity type
- Organization (NPI-2)
- Legal business name
- Plantation Allergy LLC
- Organization subpart
- No
- Enumeration date
- Jan 3, 2007
- Last updated
- Jun 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | – | – | Yes |
Practice location
201 Nw 82nd AveSuite 404
Plantation, FL 33324-7808
Phone 954-472-1212 · Fax 954-473-6235
Mailing address
201 Nw 82nd AveSuite 404
Plantation, FL 33324-7808
Phone 954-472-1212 · Fax 954-473-6235
Authorized official
Herbert I Moselle
Owner
9544721212
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