Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

All Seasons Allergy and Asthma Center, PA

Organization Allergy & Immunology Physician · NPI 1578618104

All Seasons Allergy and Asthma Center, PA provides Allergy & Immunology Physician services in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

362 Beal Pkwy NW Ste 105
Fort Walton Beach, FL 32548-3926
Phone: (850) 862-3020
Fax: (850) 862-1363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence OS9224 (FL)

Record details

NPI number1578618104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Clark — Director · (850) 862-3020
NPI enumeratedJanuary 24, 2007
Last updated in NPPESOctober 3, 2017
Mailing address362 Beal Pkwy Nw Ste 105, Fort Walton Beach, FL 32548-3926

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