Organization
PULMONARY CRITICAL CARE & SLEEP SPECIALISTS OF LAKE COUNTY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD JALLOUL MD (OWNER)
(352) 508-1727
Entity
Organization
Contact information
Practice address
2762 DORA AVE, TAVARES, FL 32778-4970
(352) 508-1727
(877) 762-7377
Mailing address
PO BOX 386, TAVARES, FL 32778-0386
(352) 508-1727
(877) 762-7377
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME97922
FL
Other
Enumeration date
03/14/2007
Last updated
07/13/2012
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