Organization
CENTRAL FLORIDA PULMONARY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA L. KLEIN (ASSISTANT ADMINISTRATOR)
(407) 841-1100
Entity
Organization
Contact information
Practice address
1115 E. RIDGEWOOD ST., ORLANDO, FL 32803
(407) 841-1100
(407) 650-0262
Mailing address
1115 E. RIDGEWOOD ST., ORLANDO, FL 32803
(407) 841-1100
(407) 650-0262
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060232900
—
FL
Enumeration date
01/11/2006
Last updated
03/27/2013
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