Healthcare Provider Details

I. General information

NPI: 1194287938
Provider Name (Legal Business Name): BREATHE EASY RESPIRATORY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 04/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 MAYFAIR LN
BOYNTON BEACH FL
33426-8126
US

IV. Provider business mailing address

79 MAYFAIR LN
BOYNTON BEACH FL
33426-8126
US

V. Phone/Fax

Practice location:
  • Phone: 561-460-0110
  • Fax:
Mailing address:
  • Phone: 561-460-0110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: MINA MORADI
Title or Position: MGR/OWNER
Credential:
Phone: 561-460-0110