Provider Demographics
NPI:1164411427
Name:RESPIRATORY SPECIALISTS PL
Entity Type:Organization
Organization Name:RESPIRATORY SPECIALISTS PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-725-6128
Mailing Address - Street 1:1840 MEASE DRIVE
Mailing Address - Street 2:SUITE 307
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-6605
Mailing Address - Country:US
Mailing Address - Phone:727-725-6128
Mailing Address - Fax:727-725-6168
Practice Address - Street 1:1840 MEASE DRIVE
Practice Address - Street 2:SUITE 307
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-6605
Practice Address - Country:US
Practice Address - Phone:727-725-6128
Practice Address - Fax:727-725-6168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-19
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL273893700Medicaid
FL273893700Medicaid