Provider Demographics
NPI:1922288265
Name:PRECISION PULMONARY LLC
Entity Type:Organization
Organization Name:PRECISION PULMONARY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:MICHAEL
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 1:2194 MAIN ST
Practice Address - Street 2:SUITE O
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5696
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:2007-11-03
Last Update Date:2009-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT56362279P1004X, 2279P1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary DiagnosticsGroup - Multi-Specialty
No2279P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Function TechnologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHCC8066OtherAHCA
FLAK308Medicare PIN