1023308376 NPI number — LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023308376 NPI number — LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L.
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:
1023308376
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/28/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19387 US HIGHWAY 19 N
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLEARWATER
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33764-3102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-431-8261
Provider Business Mailing Address Fax Number:
877-524-9504

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
190 CONGRESS PARK DR
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
DELRAY BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33445-4706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-272-4101
Provider Business Practice Location Address Fax Number:
561-272-4102
Provider Enumeration Date:
04/07/2011

Additional Information

Authorized Official

Authorized Official Last Name:
PEDERSEN
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
Authorized Official Title or Position:
AUTHORIZED OFFICIAL
Authorized Official Telephone Number:
727-431-8273

Provider Taxonomy Codes

  • Taxonomy code: 225400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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