PULMONARY ASSOCIATES OF BRANDON NPI 1295868198

NPI Information

NPI: 1295868198
Provider Name: PULMONARY ASSOCIATES OF BRANDON
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D0861478

Address:
4051 UPPER CREEK DR
SUITE 106
SUN CITY CENTER, FL
ZIP 33573
Phone: (813) 634-7033
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PULMONARY ASSOCIATES OF BRANDON is a specialist in Sun City Center, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PULMONARY ASSOCIATES OF BRANDON NPI is 1295868198. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4051 UPPER CREEK DR
SUITE 106
SUN CITY CENTER, FL
ZIP 33573-825
Phone: (813) 634-7033
Fax: (813) 634-5797

The provider's authorized official is Richard S Powell .
The authorized official title is President and has the following contact phone number (813) 681-4413.

The CLIA number assigned to this NPI record is 10D0861478 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 12/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	FLORIDA	TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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