Provider Demographics
NPI:1053629683
Name:PULMONARY CONSULTANTS OF OCALA , PLLC
Entity Type:Organization
Organization Name:PULMONARY CONSULTANTS OF OCALA , PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO-ELVIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-237-2826
Mailing Address - Street 1:3301 SW 34TH CIR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-6621
Mailing Address - Country:US
Mailing Address - Phone:352-237-2826
Mailing Address - Fax:352-237-2488
Practice Address - Street 1:3301 SW 34TH CIR
Practice Address - Street 2:SUITE 202
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-6621
Practice Address - Country:US
Practice Address - Phone:352-237-2826
Practice Address - Fax:352-237-2488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95387174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL275348100Medicaid
FL52788ZMedicare PIN
FL275348100Medicaid