MEDICARE: GULFVIEW RESPIRATORY CARE SERVICES

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	332BX2000X	Oxygen Equipment & Supplies (DME)	598	FL

General Provider Information

NPI Number	:	1366610412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GULFVIEW RESPIRATORY CARE SERVICES

Provider Business Mailing Address
First Line	:	4129 MARINER BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-2469
Country	:	US
Telephone Number	:	352-688-8290
Fax Number	:	352-688-6388

Provider Business Practice Location Address
First Line	:	4129 MARINER BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-2469
Country	:	US
Telephone Number	:	352-688-8290
Fax Number	:	352-688-6388

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MARISOL ROSAS
Credential	:
Telephone Number	:	352-688-8290

Provider Enumeration Date	:	02/12/2008
Last Update Date	:	08/18/2008

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