MEDICARE: PASCO PULMONARY MEDICAL CENTER INC

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
1	207RP1001X	Pulmonary Disease Physician	ME51235	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	ME51235	OTHER	FL	LICENSE

General Provider Information

NPI Number	:	1043341886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PASCO PULMONARY MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	5522 TROUBLE CREEK RD
Second Line	:	SUITE 102
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-5171
Country	:	US
Telephone Number	:	727-847-2847
Fax Number	:	727-847-9102

Provider Business Practice Location Address
First Line	:	5522 TROUBLE CREEK RD
Second Line	:	SUITE 102
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-5171
Country	:	US
Telephone Number	:	727-847-2847
Fax Number	:	727-847-9102

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	NARESH C JAIN
Credential	:
Telephone Number	:	727-847-2847

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	04/25/2014

Similar Medicare Providers

1376552075 — DR. SHIV KUMAR AGGARWAL M.D.
Practice Location Address:

5522 TROUBLE CREEK RD , STE 100
NEW PORT RICHEY, FL
34652-5171

Practice Phone: 727-842-7088
Practice Fax: 727-848-6731

1760708085 — SHIV AGGARWAL MD PA
Practice Location Address:

5522 TROUBLE CREEK RD STE 100
NEW PORT RICHEY, FL
34652-5171

Practice Phone: 727-842-7088
Practice Fax: 727-848-6731

1114361441 — DR. MOHAMAD KHALID JIBAWI M.D.
Practice Location Address:

5522 TROUBLE CREEK RD STE 102
NEW PRT RCHY, FL
34652-5171

Practice Phone: 727-788-3070
Practice Fax: 727-788-3072

1891651352 — ANN MARY JOSEPH
Practice Location Address:

15445 W NATIONAL AVE
NEW BERLIN, WI
53151-5171

Practice Phone: 262-938-0133
Practice Fax:

1932553815 — LESLIE DE GRAAF LMHC
Practice Location Address:

6014 US HIGHWAY 19 STE 303
NEW PORT RICHEY, FL
34652-2547

Practice Phone: 833-473-3399
Practice Fax:

1417335696 — DR. SARAH MALLETT MD
Practice Location Address:

6600 MADISON ST FL 2
NEW PORT RICHEY, FL
34652-1971

Practice Phone: 727-815-7208
Practice Fax: 727-266-4951

Directions to “PASCO PULMONARY MEDICAL CENTER INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.