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Contact Information

INDEPENDENT LUNG ASSOCIATES, PA
1314 OAK STREET
MELBOURNE, FL32901
 Phone: 321-727-7992
 Fax: 321-727-7664
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for INDEPENDENT LUNG ASSOCIATES PA · (Female)

NPI # 1962809897
Status Active
Credentials
Entity Individual
Enumeration date 11/20/2014
Last updated 11/20/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME112053
  • FL Medicaid 005977500
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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