Provider Demographics
NPI:1891926747
Name:PRECISION CARDIO PULMONARY, LLC
Entity Type:Organization
Organization Name:PRECISION CARDIO PULMONARY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:M
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:727-216-6568
Mailing Address - Street 1:PO BOX 16267
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33766-6267
Mailing Address - Country:US
Mailing Address - Phone:727-216-6568
Mailing Address - Fax:727-494-1468
Practice Address - Street 1:221 W 2ND ST
Practice Address - Street 2:SUITE 721
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-2501
Practice Address - Country:US
Practice Address - Phone:727-216-6568
Practice Address - Fax:727-494-1468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-27
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty