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THE SOUTHEAST ASTHMA AND ALLERGY CENTER PC
NPI 1295012631
Allergy & Immunology - Allergy in Tallahassee, FL

Active since November 14, 2011
2804 REMINGTON GREEN CIR STE 1, TALLAHASSEE, FL 32308(850) 656-6269(850) 877-5270 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Southeast Asthma And Allergy Center Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SOUTHEAST ASTHMA AND ALLERGY CENTER PC (NPI 1295012631) is a healthcare organization registered as an allergy in Tallahassee, Florida and active in the NPI registry since November 2011. The organization lists Randolph Augustus Malone, Physician, as its authorized official.

NPPES Registry Identity

NPI1295012631
Entity TypeOrganization
Primary Taxonomy207KA0200X
Legal Business NameTHE SOUTHEAST ASTHMA AND ALLERGY CENTER PC
Location Address2804 REMINGTON GREEN CIR STE 1Tallahassee, FL 32308-8707
Mailing Address511 Gordon AveThomasville, GA 31792-6645 · (229) 226-5616 · Fax (229) 226-7132
Phone(850) 656-6269
Fax(850) 877-5270
Organization SubpartNo
Authorized OfficialRandolph Augustus MalonePhysician · (850) 656-6269
Enumeration DateNovember 14, 2011
Last NPPES UpdateAugust 31, 2022
NPPES CertifiedAugust 31, 2022
✔ NPI 1295012631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License✔ Licensed in GA · 0034412
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
2804 REMINGTON GREEN CIR STE 1, Tallahassee, FL 32308
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Other Identifiers 1

Medicaid000465671AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DWIGHT LUKE POLIVKA ARNP
Nurse Practitioner (Family)
2804 REMINGTON GREEN CIR STE 1
TALLAHASSEE, FL 32308
Leon County (850) 656-6269

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Southeast Asthma And Allergy Center PC's NPI number?

The NPI number for The Southeast Asthma And Allergy Center PC is 1295012631. It was assigned to this organization in the NPPES registry on November 14, 2011.

Where is The Southeast Asthma And Allergy Center PC located?

The Southeast Asthma And Allergy Center PC is located at 2804 Remington Green Cir Ste 1, Tallahassee, FL 32308. The listed phone number is (850) 656-6269.

What is The Southeast Asthma And Allergy Center PC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

When was this NPI record last updated?

The NPPES record for The Southeast Asthma And Allergy Center PC was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.