Pulmonary Critical Care & Sleep Specialists of Lake County, PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME97922 Issued in FL

Legal business name

PULMONARY CRITICAL CARE & SLEEP SPECIALISTS OF LAKE COUNTY, PA

Practice address

2762 Dora Ave
Tavares, FL 32778-4970

Phone

(352) 508-1727

Fax

(877) 762-7377

NPI assigned

Mar 14, 2007

Last updated

Jul 13, 2012By 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

Ahmad Jalloul, MDNPI 1740208404

Title

Owner

Phone

(352) 508-1727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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.

• Ahmad Souheil Jalloul, M.D.

  • Pulmonary Disease Physician
  • Clermont, FL
  • NPI 1740208404
  Medicare reassignment NPD Authorized official
• Teresa M Karcsmar, ARNP

  • Family Nurse Practitioner
  • Winter Garden, FL
  • NPI 1134312200
  Medicare reassignment NPD
• Antholeth Janice Leckie, APRN

  • Acute Care Nurse Practitioner
  • Orlando, FL
  • NPI 1073222873
  Medicare reassignment NPD
• Amber Lynn Reffitt, APRN

  • Gerontology Nurse Practitioner
  • Clermont, FL
  • NPI 1023601762
  Medicare reassignment NPD

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1508999673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327780386",
            "telephone_number": "352-508-1727",
            "fax_number": "877-762-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2762 DORA AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784970",
            "telephone_number": "352-508-1727",
            "fax_number": "877-762-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY CRITICAL CARE & SLEEP SPECIALISTS OF LAKE COUNTY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "JALLOUL",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-508-1727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME97922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.