Provider Demographics
NPI:1679979454
Name:DYNAMIC RESPIRATORY INC
Entity Type:Organization
Organization Name:DYNAMIC RESPIRATORY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:GERLYNE
Authorized Official - Last Name:CELESTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-926-4281
Mailing Address - Street 1:555 NE 123RD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5476
Mailing Address - Country:US
Mailing Address - Phone:305-926-4281
Mailing Address - Fax:
Practice Address - Street 1:685 NE 126TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-4820
Practice Address - Country:US
Practice Address - Phone:305-653-5295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT11826227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty