Healthcare Provider Details

I. General information

NPI: 1316260086
Provider Name (Legal Business Name): DJR RESPIRATORY PROFESSIONALS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2010
Last Update Date: 03/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 PARK ROAD NORTH
ROYAL PALM BEACH FL
33411
US

IV. Provider business mailing address

182 PARK ROADE NORTH
ROYAL PALM BEACH FL
33411
US

V. Phone/Fax

Practice location:
  • Phone: 561-876-2108
  • Fax: 561-795-3582
Mailing address:
  • Phone: 561-876-2108
  • Fax: 561-795-3582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License NumberRT4735
License Number StateFL

VIII. Authorized Official

Name: DONNA J RITCHIE
Title or Position: CEO
Credential: RRT
Phone: 561-876-2108