Pulmonary & Critical Care Consultants of South Florida PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME80940 Issued in FL

Legal business name

PULMONARY & CRITICAL CARE CONSULTANTS OF SOUTH FLORIDA PA

Practice address

6134 Hollywood Blvd
Hollywood, FL 33024

Phone

(954) 589-0974

Fax

(954) 589-0975

NPI assigned

May 18, 2007

Last updated

Jun 17, 2015By 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. Kamal Anjum, MDNPI 1619947652

Title

Owner

Phone

(305) 332-9977

Specialties & licenses 1

Addresses

Other identifiers 4

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.

• Kamal Anjum, MD

  • Pulmonary Disease Physician
  • Hollywood, FL
  • NPI 1619947652
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1336357086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1193",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "330081193",
            "telephone_number": "954-589-0974",
            "fax_number": "954-589-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-589-0974",
            "fax_number": "954-589-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY & CRITICAL CARE CONSULTANTS OF SOUTH FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "ANJUM",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-332-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME80940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265430000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JMH",
            "identifier": "1771223",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "288366",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "62856",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.