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NPI Code Detail

MEDICARE: PULMONARY MEDICINE ASSOCIATES, P.A.

MEDICARE: PULMONARY MEDICINE ASSOCIATES, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician

Other Identifiers

General Provider Information

NPI Number : 1023256062
Entity Type Code : Organization
Provider Name (Legal Business Name) : PULMONARY MEDICINE ASSOCIATES, P.A.
Provider Business Mailing Address
First Line : 10101 W COLONIAL DR STE 102
Second Line :
City : OCOEE
State : FL
Zip : 34761-4213
Country : US
Telephone Number : 407-895-9060
Fax Number : 407-895-9010
Provider Business Practice Location Address
First Line : 10101 W COLONIAL DR STE 102
Second Line :
City : OCOEE
State : FL
Zip : 34761-4213
Country : US
Telephone Number : 407-895-9060
Fax Number : 407-895-9010
Authorized Official
Title or Position : OWNER/PRACTICING MD/CEO
Name : JORGE L. HERNANDEZ
Credential : MEDICAL DOCTOR
Telephone Number : 407-895-9060
Provider Enumeration Date : 01/29/2009
Last Update Date : 02/09/2021

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1730255787 — PULMONARY MEDICINE ASSOCIATES
Practice Location Address:
10101 W COLONIAL DR STE 102
OCOEE, FL
34761-4213
Practice Phone: 407-895-9060
Practice Fax: 407-895-9010

Directions to “PULMONARY MEDICINE ASSOCIATES, P.A. ” Practice Location

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