Healthcare Provider Details

I. General information

NPI: 1528643293
Provider Name (Legal Business Name): FLORIDA CHEST CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2021
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 34TH ST S
ST PETERSBURG FL
33711-1328
US

IV. Provider business mailing address

370 34TH ST S
ST PETERSBURG FL
33711-1328
US

V. Phone/Fax

Practice location:
  • Phone: 727-353-3530
  • Fax: 727-353-3313
Mailing address:
  • Phone: 727-353-3530
  • Fax: 727-353-3313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: RANA KANAAN
Title or Position: OWNER
Credential: MD
Phone: 727-347-5242