Provider Demographics
NPI:1538304688
Name:TAMPA PULMONARY AND SLEEP INSTITUTE, LLC.
Entity Type:Organization
Organization Name:TAMPA PULMONARY AND SLEEP INSTITUTE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:IBRAHIM
Authorized Official - Last Name:HAJ OBEID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-751-7855
Mailing Address - Street 1:17929 HUNTING BOW CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-5378
Mailing Address - Country:US
Mailing Address - Phone:813-751-7855
Mailing Address - Fax:813-475-5283
Practice Address - Street 1:17929 HUNTING BOW CIR STE 102
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-5378
Practice Address - Country:US
Practice Address - Phone:813-751-7855
Practice Address - Fax:813-475-5283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty