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NPI Code Detail

MEDICARE: LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L.

MEDICARE: LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L.
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
1225400000XRehabilitation Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1FC718AOTHERFLPTAN

General Provider Information

NPI Number : 1063770105
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L.
Provider Business Mailing Address
First Line : 19387 US HIGHWAY 19 N
Second Line :
City : CLEARWATER
State : FL
Zip : 33764-3102
Country : US
Telephone Number : 727-431-8261
Fax Number : 877-408-4602
Provider Business Practice Location Address
First Line : 2500 METROCENTRE BLVD
Second Line : STE 5
City : WEST PALM BEACH
State : FL
Zip : 33407-3107
Country : US
Telephone Number : 727-431-8261
Fax Number : 877-408-4602
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : JENNIFER L PEDERSEN
Credential :
Telephone Number : 727-431-8273
Provider Enumeration Date : 04/26/2012
Last Update Date : 12/03/2014

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Directions to “LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L. ” Practice Location

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