Provider Demographics
NPI:1407826407
Name:ADVANCED RESPIRATORY II, INC
Entity Type:Organization
Organization Name:ADVANCED RESPIRATORY II, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/RRT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:VENEZIA
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:888-591-9949
Mailing Address - Street 1:PO BOX 246225
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024
Mailing Address - Country:US
Mailing Address - Phone:888-591-9949
Mailing Address - Fax:954-678-6036
Practice Address - Street 1:8371 NW 15TH COURT
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024
Practice Address - Country:US
Practice Address - Phone:888-591-9949
Practice Address - Fax:954-678-6036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-24
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT63242279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL890950400Medicaid