Organization
PULMONARY MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMESH NAYYAR M.D. (OWNER)
(772) 461-4834
Entity
Organization
Contact information
Practice address
1576 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5450
(772) 353-8313
(772) 879-9636
Mailing address
1576 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5450
(772) 353-8313
(772) 879-9636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME39359
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME30367
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066226700
—
FL
01
—
33850
BLUECROSS
FL
Enumeration date
03/24/2006
Last updated
03/14/2025
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