Provider Demographics
NPI:1821398538
Name:PULMONARY & SLEEP OF TAMPA BAY PL
Entity Type:Organization
Organization Name:PULMONARY & SLEEP OF TAMPA BAY PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DRAGOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZANCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-654-8100
Mailing Address - Street 1:4308 N HABANA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6362
Mailing Address - Country:US
Mailing Address - Phone:813-654-8100
Mailing Address - Fax:813-654-6555
Practice Address - Street 1:311 NOLAND DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5727
Practice Address - Country:US
Practice Address - Phone:813-654-8100
Practice Address - Fax:813-654-6555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-27
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89388207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty