FLORIDA PEDIATRIC PULMONOLOGY LLC (NPI# 1386765386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386765386 |
| Entity Type | Organization |
| Organization Name | FLORIDA PEDIATRIC PULMONOLOGY LLC |
| Practice Address |
15740 New Hampshire Ct # B Fort Myers FL 33908-4173 |
| Mailing Address |
Po Box 7518 Fort Myers FL 33911-7518 |
| Practice Telephone | 2394661243 |
| Mailing Telephone | 2399317262 |
| Mailing Fax Number | 2399317397 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-02-23 |
| Authorized Official Name | LUIS FAVERIO (PRESIDENT) |
| Authorized Official Telephone | 2394661243 |
| 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 |
ME73220 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
15740 NEW HAMPSHIRE CT # B |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-4173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790793461 | Jodi M Grosflam | Internal Medicine | 15740 New Hampshire Ct, Suite B, Fort Myers, FL 33908-4173 | 2006-08-04 |
| 1477898690 | Elite Foot & Ankle Specialitsts, LLC | Podiatrist | 15740 New Hampshire Ct, Suite B, Fort Myers, FL 33908-4173 | 2012-11-28 |
| 1174811772 | Job Timeny | Podiatrist | 15740 New Hampshire Ct, Suite B, Fort Myers, FL 33908-4173 | 2011-07-16 |
| 1770606956 | Pediatric Neurology of Sw Fl, Pa | Pediatrics | 15740 New Hampshire Ct, Suite B, Fort Myers, FL 33908-4173 | 2007-04-10 |
| 1669583209 | Keith P Hussey | Internal Medicine | 15740 New Hampshire Ct, Fort Myers, FL 33908-4173 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| 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 |
|---|---|---|---|---|
| 1255397295 | Oscar Alejandro Alea | Pediatrics | 12748 University Dr, Fort Myers, FL 33907-5634 | 2006-04-26 |
| 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 |
| 1215915152 | Akinyemi Olutoye Ajayi | Pediatrics | 2660 W Fairbanks Ave, Winter Park, FL 32789-3385 | 2005-12-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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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.