Healthcare Provider Details

I. General information

NPI: 1366610412
Provider Name (Legal Business Name): GULFVIEW RESPIRATORY CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2008
Last Update Date: 08/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4129 MARINER BLVD
SPRING HILL FL
34609-2469
US

IV. Provider business mailing address

4129 MARINER BLVD
SPRING HILL FL
34609-2469
US

V. Phone/Fax

Practice location:
  • Phone: 352-688-8290
  • Fax: 352-688-6388
Mailing address:
  • Phone: 352-688-8290
  • Fax: 352-688-6388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number598
License Number StateFL

VIII. Authorized Official

Name: MRS. MARISOL ROSAS
Title or Position: PRESIDENT
Credential:
Phone: 352-688-8290