Florida Pulmonary Consultants PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0034351 Issued in FL

Legal business name

FLORIDA PULMONARY CONSULTANTS PA

Practice address

1788 W Fairbanks Ave
Ste a
Winter Park, FL 32789-4681

Phone

(407) 740-5447

Fax

(407) 740-5532

NPI assigned

Sep 14, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Faisal A Fakih, MDNPI 1386635480

Title

President

Phone

(407) 740-5447

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Faisal A Fakih, MD

  • Specialist
  • Winter Park, FL
  • NPI 1386635480
  Authorized official Same address or phone
• Antonio L. Rodriguez, M.D.

  • Pulmonary Disease Physician
  • Longwood, FL
  • NPI 1053300590
  NPD
• Richard Close, A.R.N.P.

  • Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1154324382
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1922093079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 W FAIRBANKS AVE",
            "address_2": "STE A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894681",
            "telephone_number": "407-740-5447",
            "fax_number": "407-740-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 W FAIRBANKS AVE",
            "address_2": "STE A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894681",
            "telephone_number": "407-740-5447",
            "fax_number": "407-740-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PULMONARY CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "FAKIH",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-740-5447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0034351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE B",
            "identifier": "290002724",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370289800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Florida Pain and Rehabilitation Associates Inc (Npi RX)
• Florida Radiation Oncology Partners
• Florida Radiology Associates PA
• Florida Radiology Associates PA
• Florida Radiology Centers LLC
• Florida Spine & Rehab Center, LLC

• Specialist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.