Organization
PULMONARY & CRITICAL CARE CONSULTANTS OF SOUTH FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMAL ANJUM MD (OWNER)
(305) 332-9977
Entity
Organization
Contact information
Practice address
6134 HOLLYWOOD BLVD, HOLLYWOOD, FL 33024
(954) 589-0974
(954) 589-0975
Mailing address
PO BOX 1193, HALLANDALE, FL 33008-1193
(954) 589-0974
(954) 589-0975
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME80940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1771223
JMH
FL
05
—
265430000
—
FL
01
—
288366
WELLCARE
FL
01
—
62856
BCBS
FL
Enumeration date
05/18/2007
Last updated
06/17/2015
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