Active NPI
Florida Lung Specialists, PA
- Pulmonary Disease Physician
- Ocoee, FL
National Provider Identifier
1194701375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- FLORIDA LUNG SPECIALISTS, PA
- Practice address
- 1588 Citrus Medical Court
Ocoee, FL 34761-4547 - Phone
- (407) 733-0275
- Fax
- (407) 435-9671
- NPI assigned
- Dec 19, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shahid Samy, MD
- Title
- Practitioner MD
- Phone
- (407) 733-0275
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
1588 Citrus Medical Court
Ocoee, FL 34761-4547
Mailing address
1588 Citrus Medical Court
Ocoee, FL 34761-4547
Phone (407) 733-0275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040428001307 | FL | Part B Supplier - Clinic/Group Practice | 0547257867 |
Receives reassigned benefits from 1 practitioner Practice locations: Ocoee, FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633564800000",
"number": "1194701375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1588 CITRUS MEDICAL COURT",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614547",
"telephone_number": "407-733-0275",
"fax_number": "407-435-9671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1588 CITRUS MEDICAL COURT",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614547",
"telephone_number": "407-733-0275",
"fax_number": "407-435-9671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA LUNG SPECIALISTS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-19",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A",
"authorized_official_last_name": "SAMY",
"authorized_official_first_name": "SHAHID",
"authorized_official_title_or_position": "PRACTITIONER MD",
"authorized_official_telephone_number": "407-733-0275",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.