Lincare Pulmonary Rehab Services of Florida, P.L.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L.

Practice address

2500 Metrocentre Blvd
Ste 5
West Palm Beach, FL 33407-3107

Phone

(727) 431-8261

Fax

(877) 408-4602

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Authorized official

Name

Jennifer L Pedersen

Title

Authorized Official

Phone

(727) 431-8273

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1063770105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19387 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643102",
            "telephone_number": "727-431-8261",
            "fax_number": "877-408-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROCENTRE BLVD",
            "address_2": "STE 5",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073107",
            "telephone_number": "727-431-8261",
            "fax_number": "877-408-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "727-431-8273"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FC718A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Rehabilitation Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.