Provider Demographics
NPI:1376760421
Name:PULMONARY PERFORMANCE EDUCATION AND TESTING LLC
Entity Type:Organization
Organization Name:PULMONARY PERFORMANCE EDUCATION AND TESTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BELYEA
Authorized Official - Suffix:
Authorized Official - Credentials:RRT, RN, AE-C
Authorized Official - Phone:386-673-3019
Mailing Address - Street 1:21 SILVER FOX TRL
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-8421
Mailing Address - Country:US
Mailing Address - Phone:386-673-3019
Mailing Address - Fax:386-673-7501
Practice Address - Street 1:21 SILVER FOX TRL
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-8421
Practice Address - Country:US
Practice Address - Phone:386-673-3019
Practice Address - Fax:386-673-7501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT 2580227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty