Qualimed Respiratory and Mobility, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1312560 Issued in FL

Legal business name

QUALIMED RESPIRATORY AND MOBILITY, INC.

Practice address

1135 Lakeland Hills Blvd
Lakeland, FL 33805-4655

Phone

(863) 683-4663

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Brian T Willis

Title

President

Phone

(863) 293-3066

Specialties & licenses 1

Addresses

Tax ID family

Qualimed Respiratory and Mobility Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Qualimed Respiratory and Mobility, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Winter Haven, FL
  • NPI 1568427672
  NPD tax ID

Locations

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1194737841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 3RD ST SW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803418",
            "telephone_number": "863-293-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054655",
            "telephone_number": "863-683-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALIMED RESPIRATORY AND MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-293-3066"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "1312560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.