Provider Demographics
NPI:1962478222
Name:RESPIRATORY CARE
Entity Type:Organization
Organization Name:RESPIRATORY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DURRWACHTER
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:863-682-8544
Mailing Address - Street 1:1804 E GARY RD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33801-2236
Mailing Address - Country:US
Mailing Address - Phone:863-682-8544
Mailing Address - Fax:863-682-9404
Practice Address - Street 1:1804 E GARY RD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801-2236
Practice Address - Country:US
Practice Address - Phone:863-682-8544
Practice Address - Fax:863-682-9404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1617332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4365490001Medicare NSC