Healthcare Provider Details

I. General information

NPI: 1427253061
Provider Name (Legal Business Name): PULMONARY ASSOCIATES OF MOBILE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 04/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8725 COUNTY ROAD 64
DAPHNE AL
36526-6061
US

IV. Provider business mailing address

PO BOX 7987
MOBILE AL
36670-0987
US

V. Phone/Fax

Practice location:
  • Phone: 251-625-1370
  • Fax: 251-625-1380
Mailing address:
  • Phone: 251-460-0243
  • Fax: 251-460-0375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH R ZURFLUH
Title or Position: ADMINISTRATOR
Credential:
Phone: 251-633-0573