Healthcare Provider Details

I. General information

NPI: 1750366118
Provider Name (Legal Business Name): PULMONARY ASSOCIATES OF MOBILE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 10/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MEMORIAL HOSPITAL DR SUITE 1A
MOBILE AL
36608-1183
US

IV. Provider business mailing address

PO BOX 7987
MOBILE AL
36670-0987
US

V. Phone/Fax

Practice location:
  • Phone: 251-343-6848
  • Fax: 251-343-5708
Mailing address:
  • Phone: 251-343-6848
  • Fax: 251-343-5708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number11173
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

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