Provider Demographics
NPI:1356675714
Name:COMPLETE RESPIRATORY CARE
Entity Type:Organization
Organization Name:COMPLETE RESPIRATORY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-968-0202
Mailing Address - Street 1:1904 BARTON PARK RD
Mailing Address - Street 2:STE 417
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-3942
Mailing Address - Country:US
Mailing Address - Phone:863-968-0202
Mailing Address - Fax:863-968-0201
Practice Address - Street 1:1904 BARTON PARK RD
Practice Address - Street 2:STE 417
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-3942
Practice Address - Country:US
Practice Address - Phone:863-968-0202
Practice Address - Fax:863-968-0201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-01
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL326751332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies