Organization
LINCARE PULMONARY REHAB SERVICES OF FLORIDA, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L PEDERSEN (AUTHORIZED OFFICIAL)
(727) 431-8273
Entity
Organization
Contact information
Practice address
823 DUNLAWTON AVE STE A, PORT ORANGE, FL 32127-4221
(386) 322-4552
(386) 322-4856
Mailing address
19387 US HIGHWAY 19 N, CLEARWATER, FL 33764-3102
(727) 431-8261
(877) 524-9504
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FC718C
PTAN
FL
Enumeration date
07/02/2012
Last updated
09/06/2012
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