1225231939 NPI number — LUNG & SLEEP CARE INC

Table of content: (NPI 1225231939)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225231939 NPI number — LUNG & SLEEP CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LUNG & SLEEP CARE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225231939
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/05/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P O BOX 7505
Provider Second Line Business Mailing Address:
LUNG & SLEEP CARE INC
Provider Business Mailing Address City Name:
SAINT PETERSBURG
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33734-7505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-522-3600
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2180 9TH AVE N
Provider Second Line Business Practice Location Address:
LUNG & SLEEP CARE INC
Provider Business Practice Location Address City Name:
SAINT PETERSBURG
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-522-3600
Provider Business Practice Location Address Fax Number:
727-522-4499
Provider Enumeration Date:
06/08/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PANSURIYA
Authorized Official First Name:
VINUBHAI
Authorized Official Middle Name:
C
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
727-522-3600

Provider Taxonomy Codes

  • Taxonomy code: 207RC0200X , with the licence number:  ME98202 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RP1001X , with the licence number: ME98202 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RS0012X , with the licence number: ME98202 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM2500X , with the licence number: ME98202 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)