MEDICARE: REGISTERED RESPIRATORY THERAPIST

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	282N00000X	General Acute Care Hospital	3937	FL

General Provider Information

NPI Number	:	1346421948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGISTERED RESPIRATORY THERAPIST

Provider Business Mailing Address
First Line	:	1121 DAGMAR AVE
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-5119
Country	:	US
Telephone Number	:	352-688-3425
Fax Number	:

Provider Business Practice Location Address
First Line	:	1121 DAGMAR AVE
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-5119
Country	:	US
Telephone Number	:	352-688-3425
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED RESPIRATORY THERAPIST
Name	:	MR. DAVID KIRSHEN
Credential	:	R.R.T.
Telephone Number	:	352-688-3425

Provider Enumeration Date	:	11/25/2007
Last Update Date	:	11/25/2007

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