Organization
LUNGMD, PA
Active
Other names
Ideal Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS PENA-HERNANDEZ MD FCCP (MEDICAL DIRECTOR)
(248) 228-0036
Entity
Organization
Contact information
Practice address
4469 S CONGRESS AVE STE 106, PALM SPRINGS, FL 33461-4726
(561) 954-2731
(561) 257-0227
Mailing address
5260 HOMELAND RD, LAKE WORTH, FL 33449-8467
(248) 228-0036
(561) 257-0227
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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