MEDICARE: ADVANTAGE RESPIRATORY SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	046528	FL
2	332BX2000X	Oxygen Equipment & Supplies (DME)	046520	FL

General Provider Information

NPI Number	:	1710982939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE RESPIRATORY SERVICES

Provider Business Mailing Address
First Line	:	875 SUNSHINE LN
Second Line	:	STE 113
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-3904
Country	:	US
Telephone Number	:	407-862-5117
Fax Number	:	407-862-9934

Provider Business Practice Location Address
First Line	:	875 SUNSHINE LN
Second Line	:	STE 113
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-3904
Country	:	US
Telephone Number	:	407-862-5117
Fax Number	:	407-862-9934

Authorized Official
Title or Position	:	OWNER
Name	:	DANIEL SCOTT MCDONALD
Credential	:
Telephone Number	:	407-862-5117

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	08/22/2020

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Directions to “ADVANTAGE RESPIRATORY SERVICES ” Practice Location

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