Provider Demographics
NPI:1871278440
Name:SOUTH FLORIDA PULMONARY PARTNERS LLC
Entity type:Organization
Organization Name:SOUTH FLORIDA PULMONARY PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:NEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDRASEKARAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-304-6614
Mailing Address - Street 1:9996 ESPRESSO MNR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-3281
Mailing Address - Country:US
Mailing Address - Phone:954-304-6614
Mailing Address - Fax:
Practice Address - Street 1:1 W SAMPLE RD STE 305
Practice Address - Street 2:
Practice Address - City:DEERFIELD BCH
Practice Address - State:FL
Practice Address - Zip Code:33064-3547
Practice Address - Country:US
Practice Address - Phone:954-304-6614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty