Organization
THE LUNG CLINIC, PA
Active
Parent organization
THE LUNG CLINIC, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LUNG CLINIC, PA
Authorized official
DR. MUHAMMAD K. SHAUKAT MD (OWNER)
(407) 944-3500
Entity
Organization
Contact information
Practice address
1115 N CENTRAL AVE, KISSIMMEE, FL 34741-4405
(407) 944-3500
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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