MEDICARE: PROFESSIONAL RESPIRATORY HOME CARE, 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	354	FL

General Provider Information

NPI Number	:	1275598807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL RESPIRATORY HOME CARE, INC

Provider Business Mailing Address
First Line	:	2436 US HIGHWAY 1
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5024
Country	:	US
Telephone Number	:	772-569-0232
Fax Number	:	772-569-2652

Provider Business Practice Location Address
First Line	:	2436 US HIGHWAY 1
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5024
Country	:	US
Telephone Number	:	772-569-0232
Fax Number	:	772-569-2652

Authorized Official
Title or Position	:	VP OWNER
Name	:	MR. RON E ROMPOT
Credential	:	CRT, RPSGT
Telephone Number	:	772-569-0232

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	07/21/2022

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