ALLERGY SPECIALISTS OF PALM BEACHES (NPI# 1962774018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962774018 |
| Entity Type | Organization |
| Organization Name | ALLERGY SPECIALISTS OF PALM BEACHES |
| Practice Address |
1801 Se Hillmoor Dr C107 Port St Lucie FL 34952-7553 |
| Mailing Address |
Po Box 30425 Palm Beach Gardens FL 33420-0425 |
| Practice Telephone | 7723357888 |
| Practice Fax Number | 7723350331 |
| Mailing Telephone | 7723357888 |
| Mailing Fax Number | 7723350331 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |
| Authorized Official Name | DR. TANUJA TIRUNAGARI VEDERE (PHYSICIAN OWNER) |
| Authorized Official Telephone | 7723357888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | ME76026 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 255468203 | 05 |
| Street Address |
1801 SE HILLMOOR DR C107 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-7553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994742 | Prithvi Raj Sawh | Pediatrics | 1801 Se Hillmoor Dr, Suite A105, Port St Lucie, FL 34952-7553 | 2005-07-07 |
| 1851814008 | Ashley Medora Le Grange | Counselor | 1801 Se Hillmoor Dr, Port St Lucie, FL 34952-7553 | 2017-07-19 |
| 1972040616 | Marvalee Allison | Nurse Practitioner | 1801 Se Hillmoor Dr, 108, Port St Lucie, FL 34952-7553 | 2017-01-19 |
| 1689127201 | Midway Ultrasound Diagnostic Services | Clinic/Center | 1801 Se Hillmoor Dr, Port St Lucie, FL 34952-7553 | 2016-07-31 |
| 1316490931 | Edward Francis Crooks | Spec/Tech, Cardiovascular | 1801 Se Hillmoor Dr, Suite C-207, Port St Lucie, FL 34952-7553 | 2016-07-31 |
| 1477967834 | Leriche Famius Louis | Nurse Practitioner | 1801 Se Hillmoor Dr, Suite B109, Port St Lucie, FL 34952-7553 | 2014-06-13 |
| 1306274998 | Accredited Medical Providers LLC | Urology | 1801 Se Hillmoor Dr, Suite A-103, Port St Lucie, FL 34952-7553 | 2013-10-17 |
| 1417383803 | Marvin Ishmeal Cohen | Nurse Practitioner | 1801 Se Hillmoor Dr, Suite B-105, Port St Lucie, FL 34952-7553 | 2013-09-18 |
| 1306278494 | Cherryl Williams | Acupuncturist | 1801 Se Hillmoor Dr, Suite 109-b, Port St Lucie, FL 34952-7553 | 2013-07-31 |
| 1386923068 | Healthy Heart Center Inc. | Internal Medicine | 1801 Se Hillmoor Dr, C208, Port St Lucie, FL 34952-7553 | 2011-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346237104 | Tanuja Tirunagari Vedere | Allergy & Immunology | 1801 Se Hillmoor Dr, C107, Port St Lucie, FL 34952-7553 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419876 | North Star Allergy, Asthma, & Immunology, P.a. | Allergy & Immunology | 900 Carillon Pkwy Ste 301, St Petersburg, FL 33716-1115 | 2020-02-18 |
| 1528604253 | Mark Minor Md Pa | Allergy & Immunology | 2290 W Eau Gallie Blvd Ste 205, Melbourne, FL 32935-3145 | 2019-11-18 |
| 1194366963 | Ami Degala, Pllc | Allergy & Immunology | 40 Forest Ct, Palm Harbor, FL 34683-3811 | 2019-10-03 |
| 1407408586 | Priya Ahya | Allergy & Immunology | 817 S University Dr Ste 106, Plantation, FL 33324-3345 | 2019-07-10 |
| 1770143729 | Melissa Michelle Swertfeger | Allergy & Immunology | 6233 66th St N, Pinellas Park, FL 33781-5025 | 2019-06-20 |
| 1235612771 | Luis Enrique Morera | Allergy & Immunology | 21150 Biscayne Blvd Ste 408, Aventura, FL 33180-1250 | 2018-09-11 |
| 1215417191 | Allergy, Asthma and Immunology Specialists, LLC | Allergy & Immunology | 7100 Camino Real Ste 121, Boca Raton, FL 33433-5510 | 2018-08-20 |
| 1811475213 | Juan Guillermo Angel | Allergy & Immunology | 11880 Sw 40th St Ste 304c, Miami, FL 33175-3574 | 2018-07-30 |
| 1831682814 | Lake Allergy, Asthma and Immunology, Pa | Allergy & Immunology | 1822 Salk Ave, Tavares, FL 32778-4300 | 2018-06-13 |
| 1194191346 | Jo Ridley LLC | Allergy & Immunology | 16372 Hibiscus Rd, Brooksville, FL 34601-4352 | 2015-08-11 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.