Provider Demographics
NPI:1750769923
Name:ANGSTEN CENTER FOR PULMONARY & SLEEP DISORDERS PA
Entity type:Organization
Organization Name:ANGSTEN CENTER FOR PULMONARY & SLEEP DISORDERS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:ANGSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-351-9940
Mailing Address - Street 1:2914 UNIVERSITY PKWY
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2412
Mailing Address - Country:US
Mailing Address - Phone:941-351-9940
Mailing Address - Fax:941-351-9942
Practice Address - Street 1:2914 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2412
Practice Address - Country:US
Practice Address - Phone:941-351-9940
Practice Address - Fax:941-351-9942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78845261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL17289Medicare PIN