OrganizationActive
Allergy Specialty Care PA
NPI 1104141118 · Specialist · Lake City, FL
Provider details
- NPI number
- 1104141118
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Denise Cone, Insurance Billing Manager(386) 961-9809
- License
- PA2020 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
213 Sw Main Blvd
Lake City, FL 32025-7001
Phone: (386) 961-9809
Fax: (386) 961-8311
Street-level locationGet directions
Mailing address
213 Sw Main Blvd
Lake City, FL 32025-7001
Registry dates
- Enumerated
- 2010-04-01
- Last updated
- 2010-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.