Active NPI
Breathewell Pulmonary Clinic LLC
- Pulmonary Disease Physician
- Tampa, FL
National Provider Identifier
1992537856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- BREATHEWELL PULMONARY CLINIC LLC
- Practice address
- 3450 E Fletcher Ave Ste 260
Tampa, FL 33613-4697 - Phone
- (813) 419-3108
- Fax
- (813) 482-0542
- NPI assigned
- Aug 19, 2024
- 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
- Amie Zamora
- Title
- Credentialing
- Phone
- (888) 556-2742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
3450 E Fletcher Ave Ste 260
Tampa, FL 33613-4697
Mailing address
9628 Charlesberg Dr
Tampa, FL 33635-1638
Phone (813) 419-3108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3450 E Fletcher Ave
Ste 260
Tampa, FL 33613
Phone (813) 419-3108
4129 N Armenia Ave
Ste 208
Tampa, FL 33607
Phone (813) 419-3108
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Tampa, FL
- NPI 1437502333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1992537856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9628 CHARLESBERG DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336351638",
"telephone_number": "813-419-3108",
"fax_number": "813-482-0542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 E FLETCHER AVE STE 260",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134697",
"telephone_number": "813-419-3108",
"fax_number": "813-482-0542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREATHEWELL PULMONARY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-19",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "ZAMORA",
"authorized_official_first_name": "AMIE",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "888-556-2742"
},
"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 Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.