PEDIATRIC PULMONARY SPECIALISTS PA NPI 1093961799

NPI Information

  • NPI: 1093961799
  • Provider Name: PEDIATRIC PULMONARY SPECIALISTS PA
  • Classification: Pediatrics - 2080P0214X
  • Specialization: Pediatric Pulmonology
  • Entity Type: Organization
  • CLIA Number: 10D2184707
  • Address: 2625 S FLORIDA AVE
    LAKELAND, FL
    ZIP 33803
  • Phone: (813) 870-1995

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NPI Details

PEDIATRIC PULMONARY SPECIALISTS PA is a pediatric pulmonology pediatrics in Lakeland, 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. PEDIATRIC PULMONARY SPECIALISTS PA NPI is 1093961799. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2625 S FLORIDA AVE
LAKELAND, FL
ZIP 33803-860
Phone: (813) 870-1995
Fax: (813) 875-1889

The provider's authorized official is David Rosenberg .
The authorized official title is President and has the following contact phone number (813) 870-1995.

The CLIA number assigned to this NPI record is 10D2184707 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2008 and was last updated on 4/10/2012.

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

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
1274523200MEDICAIDFLORIDA

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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