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PULMONARY AND CRITICAL CARE ASSOCIATES P A NPI 1568631158


NPI Information

NPI: 1568631158
Provider Name: PULMONARY AND CRITICAL CARE ASSOCIATES P A
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 10D2077493

Address:
1677 EAGLE HARBOR PKWY
SUITE B
FLEMING ISLAND, FL
ZIP 32003
Phone: (904) 276-2044
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PULMONARY AND CRITICAL CARE ASSOCIATES P A is a pulmonary disease internal medicine in Fleming Island, 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 AND CRITICAL CARE ASSOCIATES P A NPI is 1568631158. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1677 EAGLE HARBOR PKWY
SUITE B
FLEMING ISLAND, FL
ZIP 32003-802
Phone: (904) 276-2044
Fax: (904) 276-2106

The provider's authorized official is Mitchell S Rothstein .
The authorized official title is Director and has the following contact phone number (904) 366-3738.

The CLIA number assigned to this NPI record is 10D2077493 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2008 and was last updated on 1/14/2010.


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 DiseaseYes

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
197727MEDICARE 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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