Active NPI
Florida Advanced Pulmonary PA
- Pulmonary Disease Physician
- Ocala, FL
National Provider Identifier
1710095567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME0063329
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290011760 | Other | GA | RAILROAD MEDICARE |
| 41854 | Other | FL | BLUE CROSS BLUE SHIELD |
| 253196800 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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
- Lillian Flores
- Lindsey Flores
- Samantha Flores
- Tyanna Flores
- Virginia Eve Flores
- Florida Autism Center
- Florida Behavioral Solutions
- Florida Cancer Physicians Network LLC (Florida Regional Cancer Center)
- Florida Cancer Specialists & Research Institute, LLC
- Florida Cancer Specialists & Research Institute, LLC
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.