Organization
ASSOCIATES OF PULMONARY MEDICINE LLC
Active
Organization
ASSOCIATES OF PULMONARY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASEM CHARNVITAYAPONG MD (MANAGING MEMBER)
(772) 283-4428
Entity
Organization
Contact information
Practice address
8980 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952-3482
(772) 283-4428
(772) 600-1719
Mailing address
2221 SE OCEAN BLVD STE 100, STUART, FL 34996-3341
(772) 283-4428
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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