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General NPI Number Information
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NPI Number | 1811857733
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Entity Type | Organization
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Legal Business Name | LUNG SPECIALTY CARE, LLC
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 326 NORTH MILLS AVE
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City | ORLANDO
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State | FL
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Zip | 32803
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Country | US
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Telephone | 321-229-0161
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Fax |
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Provider Business Mailing Address
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Address Line | 8815 CONROY WINDERMERE RD
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City | ORLANDO
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State | FL
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Zip | 32835-3129
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Country | US
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Telephone | 321-229-0161
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Fax |
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | MAHMOOD ALI
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Credential | MD
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Telephone | 321-229-0161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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