Healthcare Provider Details

I. General information

NPI: 1053629683
Provider Name (Legal Business Name): PULMONARY CONSULTANTS OF OCALA , PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2010
Last Update Date: 02/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 SW 34TH CIR SUITE 202
OCALA FL
34474-6621
US

IV. Provider business mailing address

3301 SW 34TH CIR SUITE 202
OCALA FL
34474-6621
US

V. Phone/Fax

Practice location:
  • Phone: 352-237-2826
  • Fax: 352-237-2488
Mailing address:
  • Phone: 352-237-2826
  • Fax: 352-237-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME95387
License Number StateFL

VIII. Authorized Official

Name: DR. JOSE DELGADO-ELVIR
Title or Position: OWNER
Credential: M.D
Phone: 352-237-2826