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Organization

THE LUNG CLINIC, P.A.

Active
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Organization

THE LUNG CLINIC, P.A.

Active
Other names
Lung Clinic, PA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MUHAMMAD K SHAUKAT M.D., F.C.C.P. (OWNER)
(407) 944-3500
Entity
Organization

Contact information

Practice address
1115 N CENTRAL AVE, KISSIMMEE, FL 34741-4405
(407) 944-3500
(407) 944-3503
Mailing address
1115 N CENTRAL AVE, KISSIMMEE, FL 34741-4405
(407) 944-3500
(407) 944-3503

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME49612
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
370115800
FL
Enumeration date
07/16/2006
Last updated
02/24/2016
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