Healthcare Provider Details

I. General information

NPI: 1376659045
Provider Name (Legal Business Name): PULMONARY MEDICINE ASSOCIATES OF MIAMI, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 07/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALTON RD SUITE 210
MIAMI BEACH FL
33140-2891
US

IV. Provider business mailing address

4302 ALTON RD SUITE 210
MIAMI BEACH FL
33140-2891
US

V. Phone/Fax

Practice location:
  • Phone: 305-673-2744
  • Fax: 305-532-9540
Mailing address:
  • Phone: 305-673-2744
  • Fax: 305-532-9540

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: DR. LAWRENCE M CIMENT
Title or Position: SECRETARY/TREASURER
Credential: M.D.
Phone: 305-673-2744