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NPI Code Detail

MEDICARE: ACCESS RESPIRATORY SUPPLY, INC

MEDICARE: ACCESS RESPIRATORY SUPPLY, 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
13336C0003XCommunity/Retail PharmacyPH22054FL
2332B00000XDurable Medical Equipment & Medical SuppliesFL

General Provider Information

NPI Number : 1619905205
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCESS RESPIRATORY SUPPLY, INC
Provider Business Mailing Address
First Line : 3350 NW 22ND TER
Second Line : SUITE 100B
City : POMPANO BEACH
State : FL
Zip : 33069-1062
Country : US
Telephone Number : 954-590-3770
Fax Number : 954-590-3771
Provider Business Practice Location Address
First Line : 3350 NW 22ND TER
Second Line : SUITE 100B
City : POMPANO BEACH
State : FL
Zip : 33069-1062
Country : US
Telephone Number : 954-590-3770
Fax Number : 954-590-3771
Authorized Official
Title or Position : PRESIDENT
Name : MR. DAVID A. WALLACE
Credential :
Telephone Number : 954-590-3770
Provider Enumeration Date : 06/30/2006
Last Update Date : 09/11/2025

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Directions to “ACCESS RESPIRATORY SUPPLY, INC ” Practice Location

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