Healthcare Provider Details

I. General information

NPI: 1770640195
Provider Name (Legal Business Name): ADVANCED RESPIRATORY CARE FOR CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 CHADWICK CT
BOYNTON BEACH FL
33436-9043
US

IV. Provider business mailing address

1438 LANTANA RD # 311
LANTANA FL
33462-1536
US

V. Phone/Fax

Practice location:
  • Phone: 561-632-0562
  • Fax: 561-588-3695
Mailing address:
  • Phone: 561-632-0562
  • Fax: 561-588-3695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT3297
License Number StateFL

VIII. Authorized Official

Name: MR. WAYNE LENDER
Title or Position: PRESIDENT
Credential: RRT
Phone: 561-632-0562