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Contact Information

PEDIATRIC PULMONARY SPECIALISTS PA
2625 S FLORIDA AVE
LAKELAND, FL33803-3860
 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 # 1093961799
LBN Legal business name PEDIATRIC PULMONARY SPECIALISTS PA
Authorized official DAVID ROSENBERG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/13/2008
Last updated 04/10/2012 - About 14 years ago
Identifiers
FL Medicaid 274523200
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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