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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
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