Provider Demographics
NPI:1346421948
Name:REGISTERED RESPIRATORY THERAPIST
Entity Type:Organization
Organization Name:REGISTERED RESPIRATORY THERAPIST
Other - Org Name:NATIONAL BOARD RESPIRATORY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGISTERED RESPIRATORY THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRSHEN
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:352-688-3425
Mailing Address - Street 1:1121 DAGMAR AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-5119
Mailing Address - Country:US
Mailing Address - Phone:352-688-3425
Mailing Address - Fax:
Practice Address - Street 1:1121 DAGMAR AVE
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-5119
Practice Address - Country:US
Practice Address - Phone:352-688-3425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-25
Last Update Date:2007-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3937282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital