Organization Active NPI

North Florida Pulmonary Associates, LLC

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1275867335
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME87777 Issued in FL
Legal business name
NORTH FLORIDA PULMONARY ASSOCIATES, LLC
Practice address
11512 Lake Mead Ave
Unit # 303
Jacksonville, FL 32256-9680
Phone
(904) 371-2756
Fax
(904) 900-3590
NPI assigned
Sep 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Bassel Ramadan, MD
Title
MGRM
Phone
(904) 371-2756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME87777 FL Primary

Addresses

Primary practice location

11512 Lake Mead Ave
Unit # 303
Jacksonville, FL 32256-9680

Mailing address

11512 Lake Mead Ave
Unit # 303
Jacksonville, FL 32256-9680
Phone (904) 371-2756

Other identifiers 1

IdentifierTypeStateIssuer
CN387AOtherFLMEDICARE

National Provider Directory

National Provider Directory

Locations

11512 Lake Mead Ave
Unit 303
Jacksonville, FL 32256
Phone (904) 228-5338

7685 103rd St
Ste 1
Jacksonville, FL 32210
Phone (904) 771-1116

Practitioners & 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": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1275867335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE",
            "address_2": "UNIT # 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569680",
            "telephone_number": "904-371-2756",
            "fax_number": "904-900-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE",
            "address_2": "UNIT # 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569680",
            "telephone_number": "904-371-2756",
            "fax_number": "904-900-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA PULMONARY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "RAMADAN",
        "authorized_official_first_name": "BASSEL",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "904-371-2756",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME87777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CN387A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.