Organization
NORTH FLORIDA PULMONARY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASSEL RAMADAN MD (MGRM)
(904) 371-2756
Entity
Organization
Contact information
Practice address
11512 LAKE MEAD AVE, UNIT # 303, JACKSONVILLE, FL 32256-9680
(904) 371-2756
(904) 900-3590
Mailing address
11512 LAKE MEAD AVE, UNIT # 303, JACKSONVILLE, FL 32256-9680
(904) 371-2756
(904) 900-3590
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME87777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN387A
MEDICARE
FL
Enumeration date
09/22/2009
Last updated
04/16/2013
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