Organization
PULMONARY PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL LIVSHIN (VICE PRESIDENT)
(305) 302-2900
Entity
Organization
Contact information
Practice address
21408 W DIXIE HWY, MIAMI, FL 33180-1144
(305) 830-0202
(305) 830-0204
Mailing address
21408 W DIXIE HWY, MIAMI, FL 33180-1144
(305) 830-0202
(305) 830-0204
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
051640
FL
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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