Provider Demographics
NPI:1710982939
Name:ADVANTAGE RESPIRATORY SERVICES
Entity Type:Organization
Organization Name:ADVANTAGE RESPIRATORY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-862-5117
Mailing Address - Street 1:875 SUNSHINE LN
Mailing Address - Street 2:STE 113
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3904
Mailing Address - Country:US
Mailing Address - Phone:407-862-5117
Mailing Address - Fax:407-862-9934
Practice Address - Street 1:875 SUNSHINE LN
Practice Address - Street 2:STE 113
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3904
Practice Address - Country:US
Practice Address - Phone:407-862-5117
Practice Address - Fax:407-862-9934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL046520332BX2000X
FL046528332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5238090001Medicare NSC