Pulmonary Care of Cordele

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PULMONARY CARE OF CORDELE

Practice address

14131 Waverly Falls LN W
Jacksonville, FL 32224-5858

Phone

(904) 223-1602

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Albert Theodore Hatch, CRT

Title

Manager

Phone

(904) 223-1602

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1497832422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14131 WAVERLY FALLS LN W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245858",
            "telephone_number": "904-223-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14131 WAVERLY FALLS LN W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245858",
            "telephone_number": "904-223-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY CARE OF CORDELE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-223-1602",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00252722",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pulmonary and Critical Care Associates P a
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• Pulse Home Care LLC
• Adriana Cristina Pumarejo Duran
• Raymond Manuel Pumarejo, M.D.
• Charlotte Pumphrey, CRNA
• Surakit Pungpapong, MD

• Durable Medical Equipment & Medical Supplies in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.