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NPI Code Detail

MEDICARE: LARGO LUNG ASSOCIATES INC

MEDICARE: LARGO LUNG ASSOCIATES INC
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
1207RP1001XPulmonary Disease PhysicianME79890FL

General Provider Information

NPI Number : 1164619797
Entity Type Code : Organization
Provider Name (Legal Business Name) : LARGO LUNG ASSOCIATES INC
Provider Business Mailing Address
First Line : 1258 W BAY DR
Second Line : SUITE E
City : LARGO
State : FL
Zip : 33770-2242
Country : US
Telephone Number : 727-559-8300
Fax Number : 727-559-7700
Provider Business Practice Location Address
First Line : 1258 W BAY DR
Second Line : SUITE E
City : LARGO
State : FL
Zip : 33770-2242
Country : US
Telephone Number : 727-559-8300
Fax Number : 727-559-7700
Authorized Official
Title or Position : OFFICE MGR.
Name : MRS. ROSE CAPOLUPO
Credential :
Telephone Number : 727-559-8300
Provider Enumeration Date : 09/27/2007
Last Update Date : 11/16/2009

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Directions to “LARGO LUNG ASSOCIATES INC ” Practice Location

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