Provider Demographics
NPI:1023281060
Name:ADVANCED LUNG AND SLEEP DISORDERS CONSULTANTS P A
Entity type:Organization
Organization Name:ADVANCED LUNG AND SLEEP DISORDERS CONSULTANTS P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:MITTAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-545-1199
Mailing Address - Street 1:6185 54TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33709-1807
Mailing Address - Country:US
Mailing Address - Phone:727-545-1199
Mailing Address - Fax:727-545-5599
Practice Address - Street 1:6185 54TH AVE N
Practice Address - Street 2:
Practice Address - City:KENNETH CITY
Practice Address - State:FL
Practice Address - Zip Code:33709-1807
Practice Address - Country:US
Practice Address - Phone:727-545-1199
Practice Address - Fax:727-545-5599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0072885174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty