1134181860 NPI number — PREMIER CARDIO PULMONARY MEDICAL INC

Table of content: (NPI 1134181860)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134181860 NPI number — PREMIER CARDIO PULMONARY MEDICAL INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PREMIER CARDIO PULMONARY MEDICAL 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:
1134181860
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 16264
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:
33766-6264
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-287-2784
Provider Business Mailing Address Fax Number:
727-669-9260

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2194 MAIN ST
Provider Second Line Business Practice Location Address:
SUITE I
Provider Business Practice Location Address City Name:
DUNEDIN
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34698-5696
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-287-2784
Provider Business Practice Location Address Fax Number:
727-669-9260
Provider Enumeration Date:
04/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNS
Authorized Official First Name:
KIMBERLY
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
727-287-2784

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: CJ6542 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: X1565 . This is a "BCBS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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