Healthcare Provider Details

I. General information

NPI: 1851556765
Provider Name (Legal Business Name): BREATHE EASY THERAPEUTICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2008
Last Update Date: 07/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4392 SW 74TH AVE
MIAMI FL
33155-4406
US

IV. Provider business mailing address

4392 SW 74TH AVE
MIAMI FL
33155-4406
US

V. Phone/Fax

Practice location:
  • Phone: 305-260-4484
  • Fax: 305-260-4486
Mailing address:
  • Phone: 305-260-4484
  • Fax: 305-260-4486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number32533
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number827
License Number StateFL

VIII. Authorized Official

Name: SUZETTE A. BENET
Title or Position: PRESIDENT
Credential: CRT
Phone: 305-260-4484