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Contact Information

PEDIATRIC PULMONARY SPECIALISTS PA
4714 N ARMENIA AVE
SUITE 201
TAMPA, FL33603-2603
 Phone: 813-870-1995
 Fax: 813-875-1889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC PULMONARY SPECIALISTS PA · (Female)

NPI # 1033132857
Status Active
Credentials
Entity Individual
Enumeration date 07/25/2006
Last updated 05/16/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME0056942
  • FL Medicaid 274523200
  • FL Other 2414608 AETNA
  • FL Other 204478 AMERIGROUP
  • FL Other 100789 AVMED
  • FL Other 01424 STAYWELL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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