Healthcare Provider Details

I. General information

NPI: 1396166112
Provider Name (Legal Business Name): CPAPSPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2013
Last Update Date: 12/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2715 SPANISH RIVER RD
BOCA RATON FL
33432-8134
US

IV. Provider business mailing address

2715 SPANISH RIVER RD
BOCA RATON FL
33432-8134
US

V. Phone/Fax

Practice location:
  • Phone: 617-401-8929
  • Fax:
Mailing address:
  • Phone: 617-401-8929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: PANKAJ MERCHIA
Title or Position: MANAGER
Credential:
Phone: 561-909-8344