Organization
WEST PASCO PULMONARY ASSOCIATES, RE LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MONTANO (BILLING COORDINATOR)
72785743997
Entity
Organization
Contact information
Practice address
7545 MEDICAL DR, HUDSON, FL 34667-6502
(727) 857-4397
(727) 857-4352
Mailing address
7545 MEDICAL DR, HUDSON, FL 34667-6502
(727) 857-4397
(727) 857-4352
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38688
BCBS GROUP ID#
FL
Enumeration date
07/29/2005
Last updated
05/16/2013
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