Organization Active NPI

Pulmonary Practice of Orlando, P.a

  • Pulmonary Disease Physician
  • Orlando, FL
National Provider Identifier
1902004161
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY PRACTICE OF ORLANDO, P.A
Practice address
1697 Lake Baldwin LN
Orlando, FL 32814-6722
Phone
(407) 515-8585
Fax
(407) 515-8584
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Carol Perez
Title
Crentialing
Phone
(407) 515-8585

Specialties & licenses 1

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

Addresses

Primary practice location

1697 Lake Baldwin LN
Orlando, FL 32814-6722

Mailing address

PO Box 568671
Orlando, FL 32856-8671
Phone (407) 515-8585

National Provider Directory

National Provider Directory

Locations

2750 Taylor Ave
#A17
Orlando, FL 32806
Phone (407) 515-8585

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": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1902004161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568671",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328568671",
            "telephone_number": "407-515-8585",
            "fax_number": "407-515-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1697 LAKE BALDWIN LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146722",
            "telephone_number": "407-515-8585",
            "fax_number": "407-515-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY PRACTICE OF ORLANDO, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CRENTIALING",
        "authorized_official_telephone_number": "407-515-8585"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.