Organization Active NPI

Pulmonics Inc

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
National Provider Identifier
1003894247
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PULMONICS INC
Practice address
1419 W Waters Ave
Ste 120
Tampa, FL 33604-2895
Phone
(813) 931-8218
Fax
(813) 932-0869
NPI assigned
Jan 6, 2006
Last updated
Jun 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Max G Abellana Jr., RRT
Title
President
Phone
(813) 931-8218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1419 W Waters Ave
Ste 120
Tampa, FL 33604-2895

Mailing address

1419 W Waters Ave
Ste 120
Tampa, FL 33604-2895
Phone (813) 931-8218

Other identifiers 1

IdentifierTypeStateIssuer
025389800MedicaidFL

National Provider Directory

National Provider Directory

Locations

1419 W Waters Ave
Ste 120
Tampa, FL 33604
Phone (813) 931-8218

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1003894247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 W WATERS AVE",
            "address_2": "STE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042895",
            "telephone_number": "813-931-8218",
            "fax_number": "813-932-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 W WATERS AVE",
            "address_2": "STE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042895",
            "telephone_number": "813-931-8218",
            "fax_number": "813-932-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "ABELLANA",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-931-8218",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025389800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.