Healthcare Provider Details
I. General information
NPI: 1740103944
Provider Name (Legal Business Name): JUST ONE BREATH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6207 JANINA RD
COCOA FL
32927-8565
US
IV. Provider business mailing address
30 N GOULD ST # 61422
SHERIDAN WY
82801-6317
US
V. Phone/Fax
- Phone: 307-207-3927
- Fax:
- Phone: 307-207-3927
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHANNON
MARIE
TREIBLEY
Title or Position: OWNER
Credential: RRT
Phone: 307-207-3927