Healthcare Provider Details

I. General information

NPI: 1346417458
Provider Name (Legal Business Name): NATIONAL RESPIRATORY MEDICAL COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 08/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4409 SUN N LAKE BLVD SUITE D
SEBRING FL
33872-2170
US

IV. Provider business mailing address

4409 SUN N LAKE BLVD SUITE D
SEBRING FL
33872-2170
US

V. Phone/Fax

Practice location:
  • Phone: 863-382-1006
  • Fax: 863-382-3004
Mailing address:
  • Phone: 863-382-1006
  • Fax: 863-382-3004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number326686
License Number StateFL

VIII. Authorized Official

Name: MS. KAREN KELLY
Title or Position: OWNER
Credential:
Phone: 863-382-1006