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Organization
LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L.
Active
Organization
LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L PEDERSEN (AUTHORIZED OFFICIAL)
(727) 431-8273
Entity
Organization
Contact information
Practice address
2500 METROCENTRE BLVD, STE 5, WEST PALM BEACH, FL 33407-3107
(727) 431-8261
(877) 408-4602
Mailing address
19387 US HIGHWAY 19 N, CLEARWATER, FL 33764-3102
(727) 431-8261
(877) 408-4602
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NULL
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FC718A
PTAN
FL
Enumeration date
04/26/2012
Last updated
12/03/2014
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