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CHILDREN'S SPECIALIST PEDIATRIC PULMONOLOGY OF FLORIDA LLC NPI 1497944193


NPI Information

NPI: 1497944193
Provider Name: CHILDREN'S SPECIALIST PEDIATRIC PULMONOLOGY OF FLORIDA LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D1103955

Address:
12748 UNIVERSITY DR
FORT MYERS, FL
ZIP 33907
Phone: (239) 464-8089
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CHILDREN'S SPECIALIST PEDIATRIC PULMONOLOGY OF FLORIDA LLC is a specialist in Fort Myers, 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. CHILDREN'S SPECIALIST PEDIATRIC PULMONOLOGY OF FLORIDA LLC NPI is 1497944193. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12748 UNIVERSITY DR
FORT MYERS, FL
ZIP 33907-634
Phone: (239) 464-8089
Fax: (239) 437-5507

The provider's authorized official is Kathleen Wegelin .
The authorized official title is Office Administrator and has the following contact phone number (239) 437-5500.

The CLIA number assigned to this NPI record is 10D1103955 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2007 and was last updated on 12/10/2020.


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
1174400000XSpecialistME0091014FLORIDAYes

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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