Healthcare Provider Details

I. General information

NPI: 1144147158
Provider Name (Legal Business Name): FICUS PULMONARY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 CORAL HILLS DR
CORAL SPRINGS FL
33065-4108
US

IV. Provider business mailing address

PO BOX 970832
BOCA RATON FL
33497-0832
US

V. Phone/Fax

Practice location:
  • Phone: 914-294-4470
  • Fax:
Mailing address:
  • Phone: 914-294-4470
  • Fax:

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: CHANANYA GOLDMAN
Title or Position: MANAGER
Credential:
Phone: 914-294-4470