Provider Demographics
NPI:1548344732
Name:LUNG CARE CORP
Entity type:Organization
Organization Name:LUNG CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAULINO
Authorized Official - Middle Name:F
Authorized Official - Last Name:MORERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-227-9872
Mailing Address - Street 1:8900 SW 24TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2075
Mailing Address - Country:US
Mailing Address - Phone:305-227-9872
Mailing Address - Fax:
Practice Address - Street 1:8900 SW 24TH ST STE 101
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2075
Practice Address - Country:US
Practice Address - Phone:305-227-9872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU0416Medicare ID - Type Unspecified