Pulmonary CC., LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME110611 Issued in FL

Legal business name

PULMONARY CC., LLC

Practice address

10075 S Jog Rd Ste 202
Boynton Beach, FL 33437-3536

Phone

(561) 777-5308

Fax

(561) 303-2131

NPI assigned

Dec 1, 2012

Last updated

Aug 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wambura Neema Mkono, MDNPI 1104002054

Title

Managing Member

Phone

(561) 777-5308

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wambura Neema Mkono, M.D.

  • Pulmonary Disease Physician
  • Boynton Beach, FL
  • NPI 1104002054
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1354320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1265777262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 W BOYNTON BEACH BLVD #101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373526",
            "telephone_number": "561-777-5308",
            "fax_number": "561-303-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10075 S JOG RD STE 202",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373536",
            "telephone_number": "561-777-5308",
            "fax_number": "561-303-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY CC., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-01",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "MKONO",
        "authorized_official_first_name": "WAMBURA",
        "authorized_official_middle_name": "NEEMA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-777-5308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME110611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007946700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.

Verify at the official NPI Registry.