Healthcare Provider Details

I. General information

NPI: 1144535204
Provider Name (Legal Business Name): PULMONARY PHYSICIANS OF SOUTH FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2010
Last Update Date: 04/28/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 SW 92ND ST STE 204A
MIAMI FL
33156-7377
US

IV. Provider business mailing address

15805 SW 150TH CT
MIAMI FL
33187-0610
US

V. Phone/Fax

Practice location:
  • Phone: 305-436-9933
  • Fax: 305-436-9944
Mailing address:
  • Phone:
  • 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: DR. PEDRO SEVILLA SAEZ-BENITO
Title or Position: MEDICAL DOCTOR
Credential: M.D.
Phone: 786-596-6944