Provider Demographics
NPI:1164553897
Name:ST FRANCIS SLEEP ALLERGY AND LUNG INSTITUTE LLC
Entity Type:Organization
Organization Name:ST FRANCIS SLEEP ALLERGY AND LUNG INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:AVERILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-447-3000
Mailing Address - Street 1:802 N BELCHER RD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-2103
Mailing Address - Country:US
Mailing Address - Phone:727-447-3000
Mailing Address - Fax:727-210-4600
Practice Address - Street 1:802 N BELCHER RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-2103
Practice Address - Country:US
Practice Address - Phone:727-447-3000
Practice Address - Fax:727-210-4600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60749207R00000X, 207RA0201X, 207RC0200X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & ImmunologyGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty