ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A.
NPI 1578618104
Allergy & Immunology in Fort Walton Beach, FL

Active since January 24, 2007CLIA Certified · 2 labs
362 BEAL PKWY NW STE 105, FORT WALTON BEACH, FL 32548(850) 862-3020(850) 862-1363 Get Directions Write a Review

NPPES record last updated: October 3, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About All Seasons Allergy And Asthma Center, P.a. NPPES

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

ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A. (NPI 1578618104) is a healthcare organization registered as an allergy & immunology in Fort Walton Beach, Florida and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Justin Clark, Director, as its authorized official.

NPPES Registry Identity

NPI1578618104
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameALL SEASONS ALLERGY AND ASTHMA CENTER, P.A.
Location Address362 BEAL PKWY NW STE 105Fort Walton Beach, FL 32548-3926
Mailing Address362 Beal Pkwy Nw Ste 105Fort Walton Beach, FL 32548-3926 · (850) 862-3020 · Fax (850) 862-1363
Fax(850) 862-1363
Organization SubpartNo
Authorized OfficialJustin ClarkDirector · (850) 862-3020
Enumeration DateJanuary 24, 2007
Last NPPES UpdateOctober 3, 2017
NPI 1578618104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in FL · OS9224
Definition

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.

362 BEAL PKWY NW STE 105, Fort Walton Beach, FL 32548

Other Identifiers 1

Medicare UPINI01436FL

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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2295706

All Seasons Allergy And Asthma Center PA · Crestview, FL
Active · expires Dec 14, 2027
CLIA Number10D2295706
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorJustin Clark
Laboratory Phone(850) 862-3020
Laboratory LocationAll Seasons Allergy And Asthma Center PA524 West James Lee Blvd, Crestview, FL 32536
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1075955

All Seasons Allergy And Asthma Center PA · Ft Walton Beach, FL
Active · expires Nov 1, 2027
CLIA Number10D1075955
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorJustin P. Clark
Laboratory Phone(850) 862-3020
Laboratory LocationAll Seasons Allergy And Asthma Center PA362 Beal Parkway Suite 105, Ft Walton Beach, FL 32548
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Allergy & Immunology
362 BEAL PKWY NW STE 105
FORT WALTON BEACH, FL 32548

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 All Seasons Allergy And Asthma Center, P.A.'s NPI number?

The NPI number for All Seasons Allergy And Asthma Center, P.A. is 1578618104. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is All Seasons Allergy And Asthma Center, P.A. located?

All Seasons Allergy And Asthma Center, P.A. is located at 362 Beal Pkwy NW Ste 105, Fort Walton Beach, FL 32548. The listed phone number is (850) 862-3020.

What is All Seasons Allergy And Asthma Center, P.A.'s specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Does All Seasons Allergy And Asthma Center, P.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for All Seasons Allergy And Asthma Center, P.A. was last updated on October 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.