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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