=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679795413
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MARK ADELMAN MD PA & KENNETH M BARON MD PA PULMONARY ASSOCIATES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/02/2007
-----------------------------------------------------
Last Update Date | 06/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9980 CENTRAL PARK BLVD N SUITE 322
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33428-1762
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-488-2988
-----------------------------------------------------
Fax | 561-852-9696
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9980 CENTRAL PARK BLVD N SUITE 322
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33428-1762
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-488-2988
-----------------------------------------------------
Fax | 561-852-9696
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/PHYSICIAN
-----------------------------------------------------
Name | DR. MARK ADELMAN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 561-488-2988
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RP1001X
-----------------------------------------------------
Taxonomy Name | Pulmonary Disease Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------