Organization Active NPI

Allergy Sleep and Lung Care PA

  • Pulmonary Disease Physician
  • Fort Myers, FL
National Provider Identifier
1104013846
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME76783 Issued in FL
Legal business name
ALLERGY SLEEP AND LUNG CARE PA
Practice address
16420 Healthpark Commons Dr Ste 100
Fort Myers, FL 33908-9621
Phone
(239) 437-6670
Fax
(239) 437-8871
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Imtiaz Ahmad, MD
Title
President
Phone
(239) 437-6670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME76783 FL Primary

Addresses

Primary practice location

16420 Healthpark Commons Dr Ste 100
Fort Myers, FL 33908-9621

Mailing address

16420 Healthpark Commons Dr Ste 100
Fort Myers, FL 33908-9621
Phone (239) 437-6670

National Provider Directory

National Provider Directory

Locations

13685 Doctors Way
Ste 100
Fort Myers, FL 33912
Phone (239) 343-1176

16420 Healthpark Commons Dr
#D
Fort Myers, FL 33908
Phone (239) 437-6670

16420 Healthpark Commons Dr
#100
Fort Myers, FL 33908

1530 Lee Blvd
Ste 2100
Lehigh Acres, FL 33936
Phone (239) 369-0565

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1104013846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16420 HEALTHPARK COMMONS DR STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089621",
            "telephone_number": "239-437-6670",
            "fax_number": "239-437-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16420 HEALTHPARK COMMONS DR STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089621",
            "telephone_number": "239-437-6670",
            "fax_number": "239-437-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY SLEEP AND LUNG CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2024-03-01",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "IMTIAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-437-6670",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME76783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.