Provider Demographics
NPI:1760470710
Name:RESPIRATORY SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:RESPIRATORY SUPPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-624-0080
Mailing Address - Street 1:3550 SW 74TH AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-6451
Mailing Address - Country:US
Mailing Address - Phone:352-624-0080
Mailing Address - Fax:352-624-0015
Practice Address - Street 1:3550 SW 74TH AVE
Practice Address - Street 2:SUITE D
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-6451
Practice Address - Country:US
Practice Address - Phone:352-624-0080
Practice Address - Fax:352-624-0015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL416332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0678770001Medicare ID - Type UnspecifiedPROVIDER NUMBER