Healthcare Provider Details

I. General information

NPI: 1205501764
Provider Name (Legal Business Name): PULMONARY PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2021
Last Update Date: 10/15/2021
Certification Date: 09/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27251 WESLEY CHAPEL BLVD STE 1125
WESLEY CHAPEL FL
33544-4285
US

IV. Provider business mailing address

27251 WESLEY CHAPEL BLVD STE 1125
WESLEY CHAPEL FL
33544-4285
US

V. Phone/Fax

Practice location:
  • Phone: 352-232-3820
  • Fax: 813-435-2458
Mailing address:
  • Phone: 352-232-3820
  • Fax: 813-435-2458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2278H0200X
TaxonomyHome Health Certified Respiratory Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MISS BRITTNEY MARIE BROOKS
Title or Position: OWNER(CEO)
Credential:
Phone: 352-232-3820