Provider Demographics
NPI:1417311747
Name:ALDOR-PULMONARY, LLC
Entity type:Organization
Organization Name:ALDOR-PULMONARY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-867-6681
Mailing Address - Street 1:PO BOX 10891
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33679-0891
Mailing Address - Country:US
Mailing Address - Phone:813-853-0500
Mailing Address - Fax:813-533-5334
Practice Address - Street 1:602 S AUDUBON AVE STE B
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4217
Practice Address - Country:US
Practice Address - Phone:813-853-0500
Practice Address - Fax:813-570-6357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-13
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0172694000Medicaid