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PULMONARY CC LLC NPI 1265777262


NPI Information

NPI: 1265777262
Provider Name: PULMONARY CC LLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
10075 S JOG RD
311
BOYNTON BEACH, FL
ZIP 33437
Phone: (561) 777-5308
Get Directions

PULMONARY CC LLC is a pulmonary disease internal medicine in Boynton Beach, FL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. PULMONARY CC LLC NPI is 1265777262. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10075 S JOG RD
311
BOYNTON BEACH, FL
ZIP 33437-535
Phone: (561) 777-5308
Fax: (561) 303-2131

The provider's authorized official is Wambura N. Mkono .
The authorized official title is Owner and has the following contact phone number (561) 777-5308.

The enumeration date for this NPI number is 12/1/2012 and was last updated on 6/30/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseME110611FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1007946700MEDICAIDFLORIDA
2PTANGW820AMEDICARE PINFLORIDA

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: 11/14/2023

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