Healthcare Provider Details

I. General information

NPI: 1225231939
Provider Name (Legal Business Name): LUNG & SLEEP CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 10/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 9TH AVE N LUNG & SLEEP CARE INC
SAINT PETERSBURG FL
33713
US

IV. Provider business mailing address

P O BOX 7505 LUNG & SLEEP CARE INC
SAINT PETERSBURG FL
33734-7505
US

V. Phone/Fax

Practice location:
  • Phone: 727-522-3600
  • Fax: 727-522-4499
Mailing address:
  • Phone: 727-522-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME98202
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME98202
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberME98202
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberME98202
License Number StateFL

VIII. Authorized Official

Name: DR. VINUBHAI C PANSURIYA
Title or Position: OWNER
Credential: M.D.
Phone: 727-522-3600