NORTH FLORIDA SPECIALISTS IN LUNG DISEASES & INTERNAL MEDICINE PA NPI 1982789079

NPI Information

NPI: 1982789079
Provider Name: NORTH FLORIDA SPECIALISTS IN LUNG DISEASES & INTERNAL MEDICINE PA
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 10D2179479

Address:
301 HEALTH PARK BLVD
SUITE # 326
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 824-4532
Get Directions

NORTH FLORIDA SPECIALISTS IN LUNG DISEASES & INTERNAL MEDICINE PA is a pulmonary disease internal medicine in St Augustine, 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. NORTH FLORIDA SPECIALISTS IN LUNG DISEASES & INTERNAL MEDICINE PA NPI is 1982789079. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

301 HEALTH PARK BLVD
SUITE # 326
ST AUGUSTINE, FL
ZIP 32086-771
Phone: (904) 824-4532
Fax: (904) 824-4024

The provider's authorized official is Sebastian Josephkutty .
The authorized official title is President and has the following contact phone number (904) 824-4532.

The CLIA number assigned to this NPI record is 10D2179479 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 11/7/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine			FLORIDA	No
2	207RP1001X	Internal Medicine	Pulmonary Disease		FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G81567	MEDICARE UPIN	FLORIDA
2	255224800	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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