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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

NPI # 1033132857
LBN Legal business name PEDIATRIC PULMONARY SPECIALISTS PA
Authorized official DAVID ROSENBERG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2006
Last updated 05/16/2008 - About 18 years ago
Identifiers
FL License # ME0056942
FL Medicaid 274523200
FL Other 2414608 AETNA
FL Other 204478 AMERIGROUP
FL Other 100789 AVMED
FL Other 01424 STAYWELL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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