Organization
TALLAHASSEE PULMONARY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN E STREETMAN (PRACTICE ADMINISTRATOR)
(850) 878-8714
Entity
Organization
Contact information
Practice address
1401 CENTERVILLE RD, SUITE G02, TALLAHASSEE, FL 32308
(850) 878-8714
(850) 878-2464
Mailing address
1401 CENTERVILLE RD, SUITE G02, TALLAHASSEE, FL 32308
(850) 878-8714
(850) 878-2464
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063355100
—
FL
Enumeration date
09/29/2006
Last updated
10/29/2012
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