Organization Active NPI

Lung Specialists of Palm Beach, PL

  • Pulmonary Disease Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1295756799
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME 42106 Issued in FL
Legal business name
LUNG SPECIALISTS OF PALM BEACH, PL
Practice address
3400 Burns Rd
Suite 201
Palm Beach Gardens, FL 33410-4325
Phone
(561) 694-1101
Fax
(561) 694-1102
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jose Roberto De Olazabal, M.D.NPI 1497779706
Title
President
Phone
(561) 694-1101

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME 42106 FL Primary

Addresses

Primary practice location

3400 Burns Rd
Suite 201
Palm Beach Gardens, FL 33410-4325

Mailing address

3400 Burns Rd
Suite 201
Palm Beach Gardens, FL 33410-4325
Phone (561) 694-1101

National Provider Directory

National Provider Directory

Locations

3400 Burns Rd
Ste 201
Palm Beach Gardens, FL 33410
Phone (561) 694-1101

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295756799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BURNS RD",
            "address_2": "SUITE 201",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104325",
            "telephone_number": "561-694-1101",
            "fax_number": "561-694-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BURNS RD",
            "address_2": "SUITE 201",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104325",
            "telephone_number": "561-694-1101",
            "fax_number": "561-694-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG SPECIALISTS OF PALM BEACH, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE OLAZABAL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-694-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME 42106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.