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General NPI Number Information
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NPI Number | 1649133240
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Entity Type | Organization
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Legal Business Name | OXYGEN PATH LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 6480 N COUNTY ROAD 53
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City | MAYO
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State | FL
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Zip | 32066-2629
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Country | US
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Telephone | 352-222-4748
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Fax |
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Provider Business Mailing Address
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Address Line | 6480 N COUNTY ROAD 53
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City | MAYO
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State | FL
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Zip | 32066-2629
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Country | US
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Telephone | 352-222-4748
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAMUEL LEE JR.
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Credential | RRT
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Telephone | 352-222-4648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number |
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License Number State |
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