Citrus Chest and Lung Spec PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME0052185 Issued in FL

Legal business name

CITRUS CHEST AND LUNG SPEC PA

Practice address

318 South Line Ave
Inverness, FL 34452-4606

Phone

(352) 637-5678

Fax

(352) 344-3569

NPI assigned

Aug 29, 2006

Last updated

Jun 30, 2010By 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

Mrs. Gwendolyn L Piazza

Title

Office Manager

Phone

(352) 637-5678

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1326156399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 SOUTH LINE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524606",
            "telephone_number": "352-637-5678",
            "fax_number": "352-344-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 SOUTH LINE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524606",
            "telephone_number": "352-637-5678",
            "fax_number": "352-344-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS CHEST AND LUNG SPEC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "PIAZZA",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-637-5678",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0052185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS GROUP NUMBER",
            "identifier": "72420",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "029478100",
            "identifier": "FEDERAL BLACK LUNG",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PENN",
            "identifier": "680101",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063377100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Citrus Cardiology Consultants, PLLC
• Citrus Cardiology Consultants, PLLC
• Citrus Cardiovascular Anesthesia Associates PLLC
• Citrus Cardiovascular Associates PL
• Citrus Care Pharmacy
• Citrus County Association for Retarded Citizens, Inc. (Key Elder Care)
• Citrus Dental Association, P.a.
• Citrus Dental of Inverness, P.a.
• Citrus Dental Sleep Medicine, PA (Dental Sleep Solutions, LLC)
• Citrus Emergency Services, PA

• Pulmonary Disease Physician in Inverness, FL
• Providers in Inverness, 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 Jun 30, 2010; 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.