Organization Name: | PULMONARY ASSOCIATES, INC. |
NPI Number: | 1831506591 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YURI SOYFERMAN (PRESIDENT) |
Mailing Address: | 664 S Tamiami Trl Suite C-2 Osprey |
State: | FL US |
Postal Code: | 342299216 |
Phone Number: | 9419667400 |
Fax Number: | 9419663200 |
NPI Enumeration Date: | 07/15/2014 |
NPI Last Update Date: | 07/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |