Organization Name: | AIRWAY RESPIRATORY SOLUTIONS, LLC |
NPI Number: | 1528060159 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES BRADLEY BOONE (OWNER) |
Mailing Address: | 905 E Alfred St Tavares |
State: | FL US |
Postal Code: | 327783401 |
Phone Number: | 3523433006 |
Fax Number: | 3523439006 |
NPI Enumeration Date: | 08/12/2005 |
NPI Last Update Date: | 11/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1313037 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |