Organization Active NPI

Florida Advanced Pulmonary PA

  • Pulmonary Disease Physician
  • Ocala, FL
National Provider Identifier
1710095567
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0063329 Issued in FL
Legal business name
FLORIDA ADVANCED PULMONARY PA
Practice address
2801 SW College Road
Suite 16
Ocala, FL 34474-4447
Phone
(352) 873-0508
Fax
(352) 861-0260
NPI assigned
Aug 29, 2006
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mr. Christopher J Sullivan, MD
Title
President
Phone
(352) 873-0508

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME0063329 FL
Pulmonary Disease Physician 207RP1001X ME0063329 FL Primary

Addresses

Primary practice location

2801 SW College Road
Suite 16
Ocala, FL 34474-4447

Mailing address

2801 SW College Road
Suite 16
Ocala, FL 34474
Phone (352) 873-0508

Other identifiers 3

IdentifierTypeStateIssuer
290011760OtherGARAILROAD MEDICARE
41854OtherFLBLUE CROSS BLUE SHIELD
253196800MedicaidFL

National Provider Directory

National Provider Directory

Locations

2801 SW College Rd
Ste 16
Ocala, FL 34474
Phone (352) 873-0508

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1710095567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 SW COLLEGE ROAD",
            "address_2": "SUITE 16",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34474",
            "telephone_number": "352-873-0508",
            "fax_number": "352-861-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 SW COLLEGE ROAD",
            "address_2": "SUITE 16",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744447",
            "telephone_number": "352-873-0508",
            "fax_number": "352-861-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ADVANCED PULMONARY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-873-0508",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME0063329",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0063329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290011760",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "41854",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253196800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.