ADVANCED PEDIATRIC PULMONOLOGY PLLC NPI 1053095265

NPI Information

  • NPI: 1053095265
  • Provider Name: ADVANCED PEDIATRIC PULMONOLOGY, PLLC
  • Classification: Pediatrics - 2080P0214X
  • Specialization: Pediatric Pulmonology
  • Entity Type: Organization
  • Former Legal Business Name: N/A
  • Address: 1971 SW 172ND AVE STE 3128
    MIRAMAR, FL
    ZIP 33029
  • Phone: (954) 299-5272

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NPI Details

ADVANCED PEDIATRIC PULMONOLOGY, PLLC is a pediatric pulmonology pediatrics in Miramar, FL. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. ADVANCED PEDIATRIC PULMONOLOGY, PLLC NPI is 1053095265. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is N/a.

The provider's business location address is:

1971 SW 172ND AVE STE 3128
MIRAMAR, FL
ZIP 33029-592
Phone: (954) 299-5272
Fax: (855) 583-3365

The provider's authorized official is Marie Myrtha Gregoire-bottex .
The authorized official title is Managing Member and has the following contact phone number (914) 462-7411.

The enumeration date for this NPI number is 6/9/2023 and was last updated on 8/5/2024.

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
12080P0214XPediatricsPediatric PulmonologyYes
2261QM2500XClinic/CenterMedical SpecialtyNo

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
1102074500MEDICAIDFLORIDA
210D2296465OTHERFLORIDACLIA
300118945800MEDICAIDFLORIDA
42HXM4OTHERFLORIDAFLORIDA BLUE PROVIDER
511995072OTHERCAQH
61J6FXOTHERFLORIDAFLORIDA BLUE

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: 11/21/2025

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