Healthcare Provider Details

I. General information

NPI: 1588265458
Provider Name (Legal Business Name): RESPIRE PULMONARY AND SLEEP MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2020
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2484 N ESSEX AVE
HERNANDO FL
34442-5321
US

IV. Provider business mailing address

2484 N ESSEX AVE
HERNANDO FL
34442-5321
US

V. Phone/Fax

Practice location:
  • Phone: 352-249-5338
  • Fax: 352-280-3066
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LEE R GONZALEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 603-438-9090