Healthcare Provider Details

I. General information

NPI: 1235665233
Provider Name (Legal Business Name): PULMONARY TESTING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 05/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31729 PARKDALE DR
LEESBURG FL
34748-6144
US

IV. Provider business mailing address

31729 PARKDALE DR
LEESBURG FL
34748-6144
US

V. Phone/Fax

Practice location:
  • Phone: 352-459-9772
  • Fax: 352-326-8751
Mailing address:
  • Phone: 352-459-9772
  • Fax: 352-326-8751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2278P1004X
TaxonomyPulmonary Diagnostics Certified Respiratory Therapist
License NumberRT8225
License Number StateFL

VIII. Authorized Official

Name: JOSUE P AGUILAR SR.
Title or Position: PRESIDENT
Credential:
Phone: 352-459-9772