Lincare Pulmonary Rehab Services of Florida, PL

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

LINCARE PULMONARY REHAB SERVICES OF FLORIDA, PL

Practice address

823 Dunlawton Ave Ste a
Port Orange, FL 32127-4221

Phone

(386) 322-4552

Fax

(386) 322-4856

NPI assigned

Jul 2, 2012

Organization subpart

No

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

Authorized official

Name

Jennifer L Pedersen

Title

Authorized Official

Phone

(727) 431-8273

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1376807610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19387 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643102",
            "telephone_number": "727-431-8261",
            "fax_number": "877-524-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 DUNLAWTON AVE STE A",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274221",
            "telephone_number": "386-322-4552",
            "fax_number": "386-322-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCARE PULMONARY REHAB SERVICES OF FLORIDA, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "727-431-8273"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FC718C",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Lenoir Lewis
• Yanelis Leyva, MSN, FNP-BC
• Libre Behavioral Healthcare LLC
• Mary Kathleen Lichtenwalter, LMHC, CAP, CCS
• Wen-Ling Lin, APRN
• Zachary Lindeman
• Carolyn Lipphardt
• Tracey Lea Liput
• Abby Little
• Gary Robert Llewellyn

• Rehabilitation Practitioner in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Rehabilitation Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.