Organization Active NPI

Lincare Pulmonary Rehab Services of Florida, P.L.

  • Rehabilitation Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1407114549
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L.
Practice address
2900 W Cypress Creek Rd
Ste 8
Ft Lauderdale, FL 33309-1715
Phone
(727) 431-8261
Fax
(877) 408-4602
NPI assigned
Apr 26, 2012
Last updated
Sep 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X NU Primary

Addresses

Primary practice location

2900 W Cypress Creek Rd
Ste 8
Ft Lauderdale, FL 33309-1715

Mailing address

19387 US Highway 19 N
Clearwater, FL 33764-3102
Phone (727) 431-8261

Other identifiers 1

IdentifierTypeStateIssuer
FC718AOtherFLPTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1407114549",
    "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": "877-408-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W CYPRESS CREEK RD",
            "address_2": "STE 8",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091715",
            "telephone_number": "727-431-8261",
            "fax_number": "877-408-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-09-11",
        "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": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FC718A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.