MEDICARE: BREATHE EASY THERAPEUTICS, 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	332BX2000X	Oxygen Equipment & Supplies (DME)	32533	FL
2	332B00000X	Durable Medical Equipment & Medical Supplies	827	FL

General Provider Information

NPI Number	:	1851556765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREATHE EASY THERAPEUTICS, INC

Provider Business Mailing Address
First Line	:	4392 SW 74TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-4406
Country	:	US
Telephone Number	:	305-260-4484
Fax Number	:	305-260-4486

Provider Business Practice Location Address
First Line	:	4392 SW 74TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-4406
Country	:	US
Telephone Number	:	305-260-4484
Fax Number	:	305-260-4486

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUZETTE A. BENET
Credential	:	CRT
Telephone Number	:	305-260-4484

Provider Enumeration Date	:	07/21/2008
Last Update Date	:	07/21/2008

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