Provider Demographics
NPI:1528643293
Name:FLORIDA CHEST CARE LLC
Entity type:Organization
Organization Name:FLORIDA CHEST CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANAAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-347-5242
Mailing Address - Street 1:370 34TH ST S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33711-1328
Mailing Address - Country:US
Mailing Address - Phone:727-353-3530
Mailing Address - Fax:727-353-3313
Practice Address - Street 1:370 34TH ST S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-1328
Practice Address - Country:US
Practice Address - Phone:727-353-3530
Practice Address - Fax:727-353-3313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME130352OtherSTATE LICENSE