Provider Demographics
NPI:1790832640
Name:D & G RESPIRATORY INC
Entity Type:Organization
Organization Name:D & G RESPIRATORY INC
Other - Org Name:AMERICAN DIABETIC SUPPORT GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:JUDE
Authorized Official - Last Name:FITZPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-495-5562
Mailing Address - Street 1:3860 VIA DEL REY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-7500
Mailing Address - Country:US
Mailing Address - Phone:239-495-5562
Mailing Address - Fax:239-495-2785
Practice Address - Street 1:3860 VIA DEL REY
Practice Address - Street 2:SUITE 101
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-7556
Practice Address - Country:US
Practice Address - Phone:239-495-5562
Practice Address - Fax:239-495-2785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC08450018OtherMEDICARE SUBMITTER
FL0376850001Medicare ID - Type Unspecified