Organization
INDEPENDENT LUNG ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZAKI ELMAGHRABY MD (OWNER)
(321) 727-7992
Entity
Organization
Contact information
Practice address
1314 OAK STREET, MELBOURNE, FL 32901
(321) 727-7992
(321) 727-7664
Mailing address
1314 OAK STREET, MELBOURNE, FL 32901
(321) 727-7992
(321) 727-7664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME112053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005977500
—
FL
Enumeration date
11/20/2014
Last updated
11/20/2014
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