Organization
SUNRISE PULMONARY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIOVANNE ZYGALA (CREDENTIALING MANAGER)
(954) 957-7171
Entity
Organization
Contact information
Practice address
7369 SHERIDAN ST, SUITE 302, HOLLYWOOD, FL 33024-2776
(954) 981-3700
(954) 987-4414
Mailing address
6245 N FEDERAL HWY, SUITE 300, FORT LAUDERDALE, FL 33308-1915
(954) 957-7171
(954) 745-0501
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
HCC6392
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271236900
—
FL
Enumeration date
08/01/2006
Last updated
03/31/2011
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