Healthcare Provider Details

I. General information

NPI: 1205834710
Provider Name (Legal Business Name): SOUTH FLORIDA PULMONARY & CRITICAL CARE ASSOCIATES P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3181 SW 22 STREET 2ND FLOOR
MIAMI FL
33145-3216
US

IV. Provider business mailing address

3181 SW 22 STREET 2 ND FLOOR
MIAMI FL
33145-3216
US

V. Phone/Fax

Practice location:
  • Phone: 305-567-1999
  • Fax: 305-567-9309
Mailing address:
  • Phone: 305-567-1999
  • Fax: 305-567-9309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ANDRES A REDONDO
Title or Position: PRESIDENT
Credential: MD
Phone: 305-567-1999