Provider Demographics
NPI:1124315759
Name:RESPIRA THERAPY LLC
Entity type:Organization
Organization Name:RESPIRA THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:OMAYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIZARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-207-7915
Mailing Address - Street 1:2114 N FLAMINGO RD # 1335
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-3501
Mailing Address - Country:US
Mailing Address - Phone:754-207-7915
Mailing Address - Fax:
Practice Address - Street 1:3105 NW 107TH AVE STE 400
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2215
Practice Address - Country:US
Practice Address - Phone:754-207-7915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-04
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW9141251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1023301298OtherMEDICARE NPI