Provider Demographics
NPI:1295738391
Name:CAREMED RESPIRATORY SERVICES INC.
Entity type:Organization
Organization Name:CAREMED RESPIRATORY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:HAUSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-621-7799
Mailing Address - Street 1:1911 US HWY 301 NORTH
Mailing Address - Street 2:#340
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619
Mailing Address - Country:US
Mailing Address - Phone:813-621-7799
Mailing Address - Fax:813-620-4881
Practice Address - Street 1:1911 N US HIGHWAY 301
Practice Address - Street 2:STE 340
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-2661
Practice Address - Country:US
Practice Address - Phone:813-621-7799
Practice Address - Fax:813-620-4881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL828332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR6311OtherBLUE CROSS PROVIDER ID
FL028948500Medicaid
FLC08460212Medicare ID - Type UnspecifiedSUMITTER ID
FL0195300001Medicare UPIN
FL028948500Medicaid