Organization
PULMONARY CONSULTANTS OF SW FL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C DALEY MD (PRESIDENT)
(239) 574-2644
Entity
Organization
Contact information
Practice address
1031 SE 9TH PL, UNIT 2, CAPE CORAL, FL 33990-3003
(239) 574-2644
(239) 574-1451
Mailing address
1031 SE 9TH PL, UNIT 2, CAPE CORAL, FL 33990-3003
(239) 574-2644
(239) 574-1451
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2357954
AETNA
FL
05
—
259708000
—
FL
01
—
45464
BC/BS
FL
01
—
H1501
RAILROAD PROVIDER NUMBER
FL
Enumeration date
08/03/2006
Last updated
08/11/2021
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