MEDICARE: CAREMED RESPIRATORY SERVICES 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	828	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	R6311	OTHER	FL	BLUE CROSS PROVIDER ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295738391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREMED RESPIRATORY SERVICES INC.

Provider Business Mailing Address
First Line	:	1911 US HWY 301 NORTH
Second Line	:	#340
City	:	TAMPA
State	:	FL
Zip	:	33619
Country	:	US
Telephone Number	:	813-621-7799
Fax Number	:	813-620-4881

Provider Business Practice Location Address
First Line	:	1911 N US HIGHWAY 301
Second Line	:	STE 340
City	:	TAMPA
State	:	FL
Zip	:	33619-2661
Country	:	US
Telephone Number	:	813-621-7799
Fax Number	:	813-620-4881

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MARY E. HAUSMAN
Credential	:
Telephone Number	:	813-621-7799

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	12/13/2010

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