MEDICARE: MR. DENVER CHARLES PRICE RPFT,CRT-NPS,RPFT

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	2278P1004X	Pulmonary Diagnostics Certified Respiratory Therapist	TT0003330	FL

General Provider Information

NPI Number	:	1851309504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DENVER CHARLES PRICE RPFT,CRT-NPS,RPFT

Provider Business Mailing Address
First Line	:	2252 LAKE POINTE CIR
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34748-9580
Country	:	US
Telephone Number	:	352-255-9878
Fax Number	:

Provider Business Practice Location Address
First Line	:	2252 LAKE POINTE CIR
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34748-9580
Country	:	US
Telephone Number	:	352-255-9878
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	07/08/2007

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