MEDICARE: OXYGEN & PULMONARY SPECIALTIES,INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	84	FL

General Provider Information

NPI Number	:	1073603049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OXYGEN & PULMONARY SPECIALTIES,INC.

Provider Business Mailing Address
First Line	:	15821 SW 61 ST
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33331
Country	:	US
Telephone Number	:	305-354-5165
Fax Number	:	954-680-5546

Provider Business Practice Location Address
First Line	:	1901 SW 101ST AVE
Second Line	:	BAY C
City	:	MIRAMAR
State	:	FL
Zip	:	33025-1851
Country	:	US
Telephone Number	:	305-354-5165
Fax Number	:	954-680-5546

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. ALBERT MENENDEZ
Credential	:	C.R.T
Telephone Number	:	305-354-5165

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	08/22/2020

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