Healthcare Provider Details

I. General information

NPI: 1669442570
Provider Name (Legal Business Name): PULMONARY & SLEEP ASSOCIATES OF SOUTH FLORIDA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 06/06/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 CLINT MOORE RD 100
BOCA RATON FL
33487-2768
US

IV. Provider business mailing address

1601 CLINT MOORE RD 100
BOCA RATON FL
33487-2768
US

V. Phone/Fax

Practice location:
  • Phone: 591-939-0200
  • Fax: 561-939-0274
Mailing address:
  • Phone: 591-939-0200
  • Fax: 561-939-0274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH R BAUM
Title or Position: PRESIDENT/TREASURER
Credential: MD
Phone: 561-939-0200