Provider Demographics
NPI:1295756104
Name:PULMONARY CRITICAL CARE & SLEEP DISORDERS MEDICINE PA
Entity type:Organization
Organization Name:PULMONARY CRITICAL CARE & SLEEP DISORDERS MEDICINE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-435-7448
Mailing Address - Street 1:435 AIRPORT BLVD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-7847
Mailing Address - Country:US
Mailing Address - Phone:850-435-7448
Mailing Address - Fax:850-435-3156
Practice Address - Street 1:435 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-7847
Practice Address - Country:US
Practice Address - Phone:850-435-7448
Practice Address - Fax:850-435-3156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CG0297OtherRAILROAD MEDICARE
FL34403OtherBCBS FLORIDA
FL265811900Medicaid
FL34403OtherBCBS FLORIDA