Organization
RESPIRE PULMONARY AND SLEEP MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE R GONZALEZ MD (PRESIDENT)
(603) 438-9090
Entity
Organization
Contact information
Practice address
2484 N ESSEX AVE, HERNANDO, FL 34442-5321
(352) 249-5338
(352) 280-3066
Mailing address
2484 N ESSEX AVE, HERNANDO, FL 34442-5321
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108677900
—
FL
01
—
QFM67
FLORIDA BLUE
FL
Enumeration date
11/05/2020
Last updated
01/24/2023
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