Provider Demographics
NPI:1669442570
Name:PULMONARY & SLEEP ASSOCIATES OF SOUTH FLORIDA PA
Entity Type:Organization
Organization Name:PULMONARY & SLEEP ASSOCIATES OF SOUTH FLORIDA PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:R
Authorized Official - Last Name:BAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-939-0200
Mailing Address - Street 1:1601 CLINT MOORE RD
Mailing Address - Street 2:100
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-2768
Mailing Address - Country:US
Mailing Address - Phone:591-939-0200
Mailing Address - Fax:561-939-0274
Practice Address - Street 1:1601 CLINT MOORE RD
Practice Address - Street 2:100
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2768
Practice Address - Country:US
Practice Address - Phone:591-939-0200
Practice Address - Fax:561-939-0274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-24
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL035099100Medicaid
FL035099100Medicaid