Healthcare Provider Details

I. General information

NPI: 1548467491
Provider Name (Legal Business Name): PULMONARY EXCHANGE, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 03/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17001 NE 20TH AVE SUITE 1A
NORTH MIAMI BEACH FL
33162-3245
US

IV. Provider business mailing address

9840 SOUTHWEST HWY
OAK LAWN IL
60453-6182
US

V. Phone/Fax

Practice location:
  • Phone: 305-940-7118
  • Fax: 305-940-7179
Mailing address:
  • Phone: 708-423-8888
  • Fax: 708-423-9133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number1558
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHE KALINSKY
Title or Position: REGIONAL MANAGER SOUTHEAST REGION.
Credential:
Phone: 786-246-1406