Tampabay Pulmonary PA
Organization Active NPI Specialist · Brandon, FL
NPI 1295935674 · NPPES record last updated Feb 20, 2009
Key facts
- NPI
- 1295935674
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- ME48711 (FL)
- Legal business name
- TAMPABAY PULMONARY PA
- Practice address
- 402 Noland Dr
Brandon, FL 33511-5709 - Phone
- (813) 655-9000
- Fax
- (813) 655-7344
- NPI assigned
- Jul 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Ruth Ackerman
- Title
- Office Administrator
- Phone
- (813) 655-9000
Practitioners 1
-
Ivan Foster Ackerman, M.D
National Provider Directory
Locations
402 Noland Dr
Brandon, FL 33511
Phone (813) 655-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | ME48711 | FL | Yes |
Addresses
Primary practice location
402 Noland Dr
Brandon, FL 33511-5709
Mailing address
402 Noland Drive
Brandon, FL 33511
Phone (813) 655-9000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38479 | Other | FL | BLUECROSS BLUE SHIELD OF |
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.