Provider Demographics
NPI:1285926030
Name:ADVANCED RESPIRATORY SERVICES
Entity type:Organization
Organization Name:ADVANCED RESPIRATORY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-758-9854
Mailing Address - Street 1:2581 JUPITER PARK DR
Mailing Address - Street 2:E26
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6005
Mailing Address - Country:US
Mailing Address - Phone:561-354-9022
Mailing Address - Fax:
Practice Address - Street 1:15356 ALEXANDER RUN
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33478-6608
Practice Address - Country:US
Practice Address - Phone:561-758-9854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies