Healthcare Provider Details

I. General information

NPI: 1013009810
Provider Name (Legal Business Name): PULMONARY & INTERNAL MEDICINE ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 01/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 SE OCEAN BLVD SUITE 100
STUART FL
34996-3341
US

IV. Provider business mailing address

2221 SE OCEAN BLVD SUITE 100
STUART FL
34996-3341
US

V. Phone/Fax

Practice location:
  • Phone: 772-283-4428
  • Fax:
Mailing address:
  • Phone: 772-283-4428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL EDWIN SWEET
Title or Position: PRESIDENT
Credential: M.D.
Phone: 772-283-4428