Provider Demographics
NPI:1689038689
Name:ASSOCIATES OF PULMONARY & CRITICAL CARE, LLC
Entity Type:Organization
Organization Name:ASSOCIATES OF PULMONARY & CRITICAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VARRAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-841-1290
Mailing Address - Street 1:1920 DON WICKHAM DR STE 125
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1978
Mailing Address - Country:US
Mailing Address - Phone:407-841-1290
Mailing Address - Fax:352-708-6571
Practice Address - Street 1:1920 DON WICKHAM DR STE 125
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1978
Practice Address - Country:US
Practice Address - Phone:407-841-1290
Practice Address - Fax:352-708-6571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0031947174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty