| Entity Name: | ALLERGY ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Apr 1986 (39 years ago) |
| Document Number: | J11903 |
| FEI/EIN Number | 591641576 |
| Address: | 709 N. CLYDE MORRIS BLVD., DAYTONA BEACH, FL, 32114 |
| Mail Address: | 709 N. CLYDE MORRIS BLVD., DAYTONA BEACH, FL, 32114 |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295996692 | 2008-06-19 | 2013-06-11 | 6294 1 AVE N, ST. PETERSBURG, FL, 337108414, US | 6294 1ST AVE N, ST PETERSBURG, FL, 337108414, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 727-345-1900 |
| Fax | 7273475273 |
Authorized person
| Name | DR. STEPHEN J KLEMAWESCH |
| Role | PRESIDENT |
| Phone | 7273451900 |
Taxonomy
| Taxonomy Code | 207KA0200X - Allergy Physician |
| License Number | ME0044273 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RA0201X - Allergy & Immunology (Internal Medicine) Physician |
| License Number | ME93707 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 068828200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KOHEN, MICHAEL D., M.D., P.A. | Agent | 709 N. CLYDE MORRIS BLVD., DAYTONA BEACH, FL, 32114 |
| Name | Role | Address |
|---|---|---|
| KOHEN, MICHAEL D. | President | 709 N. CLYDE MORRIS BLVD, DAYTONA BEACH, FL |
| Name | Role | Address |
|---|---|---|
| KOHEN, MICHAEL D. | Treasurer | 709 N. CLYDE MORRIS BLVD, DAYTONA BEACH, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1991-10-11 | No data | No data |
| REINSTATEMENT | 1990-09-12 | No data | No data |
| INVOLUNTARILY DISSOLVED | 1987-11-16 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
