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PEDIATRIC SERVICES AND BREATHING CENTER PA NPI 1619163359


NPI Information

NPI: 1619163359
Provider Name: PEDIATRIC SERVICES AND BREATHING CENTER PA
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 10D0988108

Address:
1400 N US HIGHWAY 441 STE 940
THE VILLAGES, FL
ZIP 32159
Phone: (352) 751-4958
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PEDIATRIC SERVICES AND BREATHING CENTER PA is a pulmonary disease internal medicine in The Villages, 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. PEDIATRIC SERVICES AND BREATHING CENTER PA NPI is 1619163359. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 N US HIGHWAY 441 STE 940
THE VILLAGES, FL
ZIP 32159-975
Phone: (352) 751-4958
Fax: (352) 751-4959

The provider's authorized official is Juan Albino .
The authorized official title is Owner and has the following contact phone number (352) 751-4958.

The CLIA number assigned to this NPI record is 10D0988108 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2007 and was last updated on 3/12/2009.


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
1207RS0012XInternal MedicineSleep MedicineME0081374FLORIDANo
22080A0000XPediatricsAdolescent MedicineME0081373FLORIDANo
3207RP1001XInternal MedicinePulmonary DiseaseME0081374FLORIDAYes

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
145615MEDICARE 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: 4/28/2024

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