All Seasons Allergy and Asthma Center, P.A.
NPI 1578618104ActiveOrganization· Allergy & Immunology· Fort Walton Beach, FL
Allergy & Immunology in Fort Walton Beach, Florida, registered in NPPES in January 2007. The authorized official on file is Justin Clark, D.O., Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578618104 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2007 |
| Last updated in NPPES | Oct 3, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Allergy & Immunology Primary | 207K00000X | OS9224 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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