Organization
INDEPENDENT LUNG ASSOCIATES, PA
Active
Organization
INDEPENDENT LUNG ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE ST AMAND (OFFICE MANAGER)
(321) 727-7992
Entity
Organization
Contact information
Practice address
1314 OAK ST, MELBOURNE, FL 32901-3111
(321) 727-7992
(321) 727-7664
Mailing address
1314 OAK ST, MELBOURNE, FL 32901-3111
(321) 727-7992
(321) 727-7664
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107102000
—
FL
05
—
269408501
—
FL
Enumeration date
07/22/2006
Last updated
01/31/2024
Update your record
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