PEDIATRIC PULMONARY SPECIALISTS PA (NPI# 1093961799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093961799 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PULMONARY SPECIALISTS PA |
| Practice Address |
2625 S Florida Ave Lakeland FL 33803-3860 |
| Mailing Address |
Po Box 151637 Tampa FL 33684-1637 |
| Practice Telephone | 8138701995 |
| Practice Fax Number | 8138751889 |
| Mailing Telephone | 8138701995 |
| Mailing Fax Number | 8138751889 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2012-04-10 |
| Authorized Official Name | DR. DAVID ROSENBERG (PRESIDENT) |
| Authorized Official Telephone | 8138701995 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 274523200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790931491 | Pediatric Pulmonary Specialists Pa | Pediatrics | 10817 Bloomingdale Ave, Riverview, FL 33578-3616 | 2008-08-13 |
| 1033132857 | Pediatric Pulmonary Specialists Pa | Pediatrics | 4714 N Armenia Ave, Suite 201, Tampa, FL 33603-2603 | 2006-07-25 |
| Street Address |
2625 S FLORIDA AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801891346 | Armando Jimenez | Otolaryngology | 2625 S Florida Ave, Lakeland, FL 33803-3860 | 2005-06-20 |
| 1225478670 | Hemantkumar Ramanlal Raval | Internal Medicine | 2625 S Florida Ave, Lakeland, FL 33803-3860 | 2013-06-30 |
| 1639437213 | Ayanna Amlak Joseph | Family Medicine | 2625 S Florida Ave, Lakeland, FL 33803-3860 | 2012-05-02 |
| 1326343112 | Dilip Shahani | Physician Assistant | 2625 S Florida Ave, Lakeland, FL 33803-3860 | 2011-01-25 |
| 1023073814 | Teresa L Even | Counselor | 2625 S Florida Ave, Lakeland, FL 33803-3860 | 2006-04-18 |
| 1881690303 | Clifton C Wheeler | Obstetrics & Gynecology | 2625 S Florida Ave, Lakeland, FL 33803-3860 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023385507 | Yanerys M Colon-cortes | Pediatrics | 2 Tampa General Cir # 5th, Tampa, FL 33606-3603 | 2011-11-28 |
| 1144537077 | Kidz Medical Services | Pediatrics | 6280 Sw 72nd St Ste 607, South Miami, FL 33143-4875 | 2010-09-14 |
| 1972829828 | Alicia Claudia Della Volpe | Pediatrics | 3200 Sw 60th Ct Ste 203, Miami, FL 33155-4070 | 2010-04-18 |
| 1437340676 | Marie Myrtha Gregoire-bottex | Pediatrics | 1580 Nw 10th Ave Fl 1, Miami, FL 33136-1013 | 2007-08-05 |
| 1629283460 | Claudia Fernandez | Pediatrics | 2301 N University Dr Ste 107, Pembroke Pines, FL 33024-3617 | 2007-05-14 |
| 1790889996 | Mario Rub | Pediatrics | 20776 W Dixie Hwy, Miami, FL 33180 | 2006-09-11 |
| 1083636443 | Daniel Hsu | Pediatrics | 3377 South State Rd 7, Suite 100, Wellington, FL 33449 | 2006-07-24 |
| 1538192281 | Shahriar Shahzeidi | Pediatrics | 1717 N Bayshore Drive, Suite 217, Miami, FL 33132-1013 | 2006-07-08 |
| 1255398368 | Robert C Beckerman | Pediatrics | 13621 Perdido Key Dr Unit W403, Pensacola, FL 32507-7488 | 2006-05-01 |
| 1255397295 | Oscar Alejandro Alea | Pediatrics | 12748 University Dr, Fort Myers, FL 33907-5634 | 2006-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.