Breathe Easy Oxygen Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

TT8185 Issued in FL

Legal business name

BREATHE EASY OXYGEN SUPPLY, INC.

Practice address

3721 San Jose Place
Suite 5
Jacksonville, FL 32257-6054

Phone

(904) 880-6551

Fax

(904) 880-6552

NPI assigned

Nov 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joe Rhodes Miracle Jr., CRTT

Title

President

Phone

(904) 880-6551

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033282702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 SAN JOSE PLACE",
            "address_2": "SUITE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576054",
            "telephone_number": "904-880-6551",
            "fax_number": "904-880-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 SAN JOSE PLACE",
            "address_2": "SUITE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576054",
            "telephone_number": "904-880-6551",
            "fax_number": "904-880-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE EASY OXYGEN SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIRACLE",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "RHODES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-880-6551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CRTT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "TT8185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.