Organization Name: | COMPLETE RESPIRATORY CARE |
NPI Number: | 1356675714 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM LEROY MILLER (OWNER) |
Mailing Address: | 1904 Barton Park Rd Ste 417 Auburndale |
State: | FL US |
Postal Code: | 338233942 |
Phone Number: | 8639680202 |
Fax Number: | 8639680201 |
NPI Enumeration Date: | 10/01/2009 |
NPI Last Update Date: | 04/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 326751 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |