Provider Demographics
NPI:1427253061
Name:PULMONARY ASSOCIATES OF MOBILE PC
Entity type:Organization
Organization Name:PULMONARY ASSOCIATES OF MOBILE PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:ZURFLUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-633-0573
Mailing Address - Street 1:PO BOX 7987
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36670-0987
Mailing Address - Country:US
Mailing Address - Phone:251-460-0243
Mailing Address - Fax:251-460-0375
Practice Address - Street 1:8725 COUNTY ROAD 64
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-6061
Practice Address - Country:US
Practice Address - Phone:251-625-1370
Practice Address - Fax:251-625-1380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALCI0468OtherRAILROAD MEDICARE