MEDICARE: CARDIOPULMONARY CARE ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	227900000X	Registered Respiratory Therapist
2	2279G1100X	General Care Registered Respiratory Therapist
3	2279P3900X	Neonatal/Pediatric Registered Respiratory Therapist
4	251C00000X	Developmentally Disabled Services Day Training Agency
5	251E00000X	Home Health Agency
6	261QM2500X	Medical Specialty Clinic/Center
7	2279H0200X	Home Health Registered Respiratory Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164824975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOPULMONARY CARE ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	8291 EMERALD WINDS CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33473-7839
Country	:	US
Telephone Number	:	561-628-9924
Fax Number	:

Provider Business Practice Location Address
First Line	:	8291 EMERALD WINDS CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33473-7839
Country	:	US
Telephone Number	:	561-628-9924
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RUDY VILBRUN
Credential	:	RT
Telephone Number	:	561-628-9924

Provider Enumeration Date	:	09/23/2014
Last Update Date	:	03/17/2019

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Directions to “CARDIOPULMONARY CARE ASSOCIATES, LLC ” Practice Location

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