Provider Demographics
NPI:1750716585
Name:ADVANCED HEALTH AND PULMONARY SERVICES INC
Entity type:Organization
Organization Name:ADVANCED HEALTH AND PULMONARY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REHAB DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FELVINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RENNA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:561-632-0926
Mailing Address - Street 1:6638 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33707-1331
Mailing Address - Country:US
Mailing Address - Phone:561-632-0926
Mailing Address - Fax:
Practice Address - Street 1:6638 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-1331
Practice Address - Country:US
Practice Address - Phone:561-632-0926
Practice Address - Fax:888-350-0447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health