Organization
PULMONARY CARE OF CENTRAL FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANN SIMMONS (ADMINISTRATOR)
(407) 539-2766
Entity
Organization
Contact information
Practice address
1110 N KENTUCKY AVE, WINTER PARK, FL 32789-4741
(407) 539-2766
(407) 539-2786
Mailing address
1110 N KENTUCKY AVE, WINTER PARK, FL 32789-4741
(407) 539-2766
(407) 539-2786
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 0048718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044242900
—
FL
Enumeration date
08/04/2006
Last updated
06/16/2018
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