| Pulmonary Medical Associates Pa | |
|
1576 Se Port St Lucie Blvd Port St Lucie FL 34952-5450 | |
| (772) 353-8313 | |
| (772) 879-9636 |
| Full Name | Pulmonary Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1576 Se Port St Lucie Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Ramesh Nayyar (OWNER) |
| Authorized Official Contact | 7724614834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pulmonary Medical Associates Pa 1576 Se Port St Lucie Blvd Port St Lucie FL 34952-5450 Ph: (772) 353-8313 | Pulmonary Medical Associates Pa 1576 Se Port St Lucie Blvd Port St Lucie FL 34952-5450 Ph: (772) 353-8313 |
| NPI Number | 1578523445 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 03/14/2025 |
| Medicare PECOS PAC ID | 4082603105 |
|---|---|
| Medicare Enrollment ID | O20040512000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578523445 | NPI | - | NPPES |
| 066226700 | Medicaid | FL | |
| 33850 | Other | FL | BLUECROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME39359 (Florida) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | ME30367 (Florida) | Primary |
| Provider Name | Ramesh K Nayyar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881647857 PECOS PAC ID: 0042209165 Enrollment ID: I20040512000399 |
| Provider Name | Manjula K Nayyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467405506 PECOS PAC ID: 5496744518 Enrollment ID: I20040512000457 |
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