Healthcare Provider Details

I. General information

NPI: 1487699948
Provider Name (Legal Business Name): PNEUMOCARE DIAGNOSTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 08/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16201 SW 95TH AVE SUITE 112
MIAMI FL
33157-3459
US

IV. Provider business mailing address

10240 SW 56TH ST #110
MIAMI FL
33165
US

V. Phone/Fax

Practice location:
  • Phone: 305-238-8198
  • Fax: 305-238-8195
Mailing address:
  • Phone: 305-275-6424
  • Fax: 305-275-6425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225B00000X
TaxonomyPulmonary Function Technologist
License Number
License Number State

VIII. Authorized Official

Name: OLGA AFANADOR
Title or Position: OWNER
Credential:
Phone: 305-275-6424