Healthcare Provider Details

I. General information

NPI: 1457068504
Provider Name (Legal Business Name): PULMONARY AND SLEEP SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2022
Last Update Date: 10/28/2022
Certification Date: 10/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1190 NW 95TH ST STE 108
MIAMI FL
33150-2064
US

IV. Provider business mailing address

3801 NE 207TH ST APT 2502
MIAMI FL
33180-3786
US

V. Phone/Fax

Practice location:
  • Phone: 305-710-9021
  • Fax:
Mailing address:
  • Phone: 305-710-9021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEKSEY I BORODYANSKIY
Title or Position: OWNER
Credential: MD
Phone: 305-710-9021