MEDICARE: LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1023308376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L.

Provider Business Mailing Address
First Line	:	19387 US HIGHWAY 19 N
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33764-3102
Country	:	US
Telephone Number	:	727-431-8261
Fax Number	:	877-524-9504

Provider Business Practice Location Address
First Line	:	190 CONGRESS PARK DR
Second Line	:	STE 100
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4706
Country	:	US
Telephone Number	:	561-272-4101
Fax Number	:	561-272-4102

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	JENNIFER PEDERSEN
Credential	:
Telephone Number	:	727-431-8273

Provider Enumeration Date	:	04/07/2011
Last Update Date	:	05/28/2014

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