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Organization

PULMONARY PRACTICE ASSOCIATES MD PA

Active
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Organization

PULMONARY PRACTICE ASSOCIATES MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATASHA SIERRA (PRACTICE MANAGER)
(386) 917-0333
Entity
Organization

Contact information

Practice address
1075 TOWN CENTER DR, ORANGE CITY, FL 32763-8360
(386) 917-0333
Mailing address
1075 TOWN CENTER DR, ORANGE CITY, FL 32763-8360
(386) 917-0333

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
Primary
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
062453500
FL
Enumeration date
08/15/2005
Last updated
06/10/2025
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