MEDICARE: KAMEL SADR RESPIRATORY CARE

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	2278C0205X	Critical Care Certified Respiratory Therapist	194011983	IL
2	2278C0205X	Critical Care Certified Respiratory Therapist	5833-28	WI
3	2278C0205X	Critical Care Certified Respiratory Therapist	122.0134399	VT
4	2279C0205X	Critical Care Registered Respiratory Therapist	RT11718	FL

General Provider Information

NPI Number	:	1861375198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMEL SADR RESPIRATORY CARE

Provider Business Mailing Address
First Line	:	12450 GULLIVER RD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-4144
Country	:	US
Telephone Number	:	352-232-1555
Fax Number	:

Provider Business Practice Location Address
First Line	:	2447 PACIFIC COAST HWY STE 200
Second Line	:
City	:	HERMOSA BEACH
State	:	CA
Zip	:	90254-2714
Country	:	US
Telephone Number	:	323-639-5436
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2025
Last Update Date	:	07/25/2025

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