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FLORIDA PEDIATRIC PULMONOLOGY LLC NPI 1386765386


NPI Information

NPI: 1386765386
Provider Name: FLORIDA PEDIATRIC PULMONOLOGY LLC
Classification: Pediatrics - 2080P0214X
Entity Type: Organization

Specialization: Pediatric Pulmonology

Address:
15740 NEW HAMPSHIRE CT
# B
FORT MYERS, FL
ZIP 33908
Phone: (239) 466-1243
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FLORIDA PEDIATRIC PULMONOLOGY LLC is a pediatric pulmonology pediatrics in Fort Myers, 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. FLORIDA PEDIATRIC PULMONOLOGY LLC NPI is 1386765386. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15740 NEW HAMPSHIRE CT
# B
FORT MYERS, FL
ZIP 33908-173
Phone: (239) 466-1243

The provider's authorized official is Luis Faverio .
The authorized official title is President and has the following contact phone number (239) 466-1243.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 2/23/2008.


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
12080P0214XPediatricsPediatric PulmonologyME73220FLORIDAYes

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
1G14058MEDICARE UPINFLORIDA

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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