Provider Demographics
NPI:1871668467
Name:BAY AREA PULMONARY ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:BAY AREA PULMONARY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:ENGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-689-1247
Mailing Address - Street 1:500 VONDERBURG DR
Mailing Address - Street 2:SUITE 211W
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5964
Mailing Address - Country:US
Mailing Address - Phone:813-689-1247
Mailing Address - Fax:813-685-3735
Practice Address - Street 1:500 VONDERBURG DR
Practice Address - Street 2:SUITE 211W
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5964
Practice Address - Country:US
Practice Address - Phone:813-689-1247
Practice Address - Fax:813-685-3735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL39700Medicare ID - Type Unspecified