Organization
ORLANDO PULMONARY AND CRITICAL CARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GANESH K AKULA M.D (OWNER)
(407) 425-3362
Entity
Organization
Contact information
Practice address
930 S ORANGE AVE, ORLANDO, FL 32806-1203
(407) 425-3362
(407) 425-8824
Mailing address
930 S ORANGE AVE, ORLANDO, FL 32806-1203
(407) 425-3362
(407) 425-8824
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
60461
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057950500
—
FL
01
—
14528Y
MEDICARE ID
FL
Enumeration date
11/14/2007
Last updated
01/13/2012
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