Excel Respiratory Solutions, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

3204482 Issued in FL

Legal business name

EXCEL RESPIRATORY SOLUTIONS, LLC

Practice address

334 3Rd St NW
Winter Haven, FL 33881-4002

Phone

(863) 299-2500

Fax

(863) 299-2511

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark Randal Hagman

Title

President

Phone

(863) 698-3111

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1447309141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 3RD ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814002",
            "telephone_number": "863-299-2500",
            "fax_number": "863-299-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 3RD ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814002",
            "telephone_number": "863-299-2500",
            "fax_number": "863-299-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL RESPIRATORY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "HAGMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RANDAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-698-3111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "3204482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUE SHIELD",
            "identifier": "R9798",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAL EQUIPMENT LIC",
            "identifier": "1312801",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WINTER HAVEN OCCP LIC",
            "identifier": "24002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAL OXYGEN PERMIT",
            "identifier": "3204482",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POLK COUNTY OCCP LIC",
            "identifier": "99700007892",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Winter Haven, FL
• Providers in Winter Haven, 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 5, 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.