Provider Demographics
NPI:1508925066
Name:OXYNET RESPIRATORY SPECIALISTS, LLC
Entity Type:Organization
Organization Name:OXYNET RESPIRATORY SPECIALISTS, LLC
Other - Org Name:AUBURNDALE COMMUNITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIGITTE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CALLAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:863-967-8009
Mailing Address - Street 1:200 HAVENDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-4512
Mailing Address - Country:US
Mailing Address - Phone:863-967-8009
Mailing Address - Fax:863-967-8013
Practice Address - Street 1:200 HAVENDALE BLVD
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-4512
Practice Address - Country:US
Practice Address - Phone:863-967-8009
Practice Address - Fax:863-967-8013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH22033333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1006736OtherNCPDP
FL1006736OtherNCPDP