Provider Demographics
NPI:1881851269
Name:ANGSTEN CENTER FOR PULMONARY & SLEEP
Entity type:Organization
Organization Name:ANGSTEN CENTER FOR PULMONARY & SLEEP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:ANGSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-351-9940
Mailing Address - Street 1:2914 UNIVERSITY PKWY
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2412
Mailing Address - Country:US
Mailing Address - Phone:941-351-9940
Mailing Address - Fax:941-351-9942
Practice Address - Street 1:2914 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2412
Practice Address - Country:US
Practice Address - Phone:941-351-9940
Practice Address - Fax:941-351-9942
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIAN E ANGSTEN MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78845207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL17289OtherBCBS
FL3340499OtherAETNA
FL26779200Medicaid
FLH75549Medicare UPIN
FL17289Medicare PIN