Organization Active NPI

Aldor-Pulmonary, LLC

Doing business as Lyracore Health Alliance Pulmonary Division, LLC

  • Pulmonary Disease Physician
  • Tampa, FL
National Provider Identifier
1417311747
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ALDOR-PULMONARY, LLC
Doing business as
Lyracore Health Alliance Pulmonary Division, LLC
Practice address
602 S Audubon Ave Ste B
Tampa, FL 33609-4217
Phone
(813) 853-0500
Fax
(813) 570-6357
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Dr. Alexandre M Furman, MDNPI 1477709632
Title
President
Phone
(847) 867-6681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

602 S Audubon Ave Ste B
Tampa, FL 33609-4217

Mailing address

PO Box 10891
Tampa, FL 33679-0891
Phone (813) 853-0500

Other practice location 1

1901 Haverford Ave Ste 111
Sun City Center, FL 33573-5200
Phone (813) 853-0500

Other identifiers 1

IdentifierTypeStateIssuer
0172694000MedicaidFL

Other names 1

  • Lyracore Health Alliance Pulmonary Division, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160630002076 FL Part B Supplier - Clinic/Group Practice 9335431816 Receives reassigned benefits from 5 practitioners
Practice locations: Sun City Center, FL; Tampa, FL

National Provider Directory

National Provider Directory

Locations

17 Davis Blvd
Ste 400
Tampa, FL 33606
Phone (813) 853-0500

602 S Audubon Ave
Ste Cste
Tampa, FL 33609

602 S Audubon Ave
Tampa, FL 33609
Phone (813) 877-9220

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFDHAD

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1417311747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10891",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336790891",
            "telephone_number": "813-853-0500",
            "fax_number": "813-533-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S AUDUBON AVE STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094217",
            "telephone_number": "813-853-0500",
            "fax_number": "813-570-6357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Haverford Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335735200",
            "country_code": "US",
            "telephone_number": "813-853-0500",
            "fax_number": "813-570-6357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALDOR-PULMONARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "FURMAN",
        "authorized_official_first_name": "ALEXANDRE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-867-6681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0172694000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyracore Health Alliance Pulmonary Division, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.