MEDICARE: PULMONARY SOLUTIONS INC

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)	3202950	FL
2	332B00000X	Durable Medical Equipment & Medical Supplies	1969	FL

General Provider Information

NPI Number	:	1801854831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULMONARY SOLUTIONS INC

Provider Business Mailing Address
First Line	:	4372 MUHLHAUSER RD
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014
Country	:	US
Telephone Number	:	513-769-6163
Fax Number	:	513-769-6172

Provider Business Practice Location Address
First Line	:	3021 US HWY 27 NORTH
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870
Country	:	US
Telephone Number	:	863-402-2040
Fax Number	:	866-402-2041

Authorized Official
Title or Position	:	PRESIDENT OF HOMECARE
Name	:	CHRIS GERARD JORDAN
Credential	:
Telephone Number	:	513-769-6163

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	03/24/2008

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Directions to “PULMONARY SOLUTIONS INC ” Practice Location

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