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Organization
BREATHE EASY OXYGEN SUPPLY, INC.
Active
Organization
BREATHE EASY OXYGEN SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE RHODES MIRACLE JR. CRTT (PRESIDENT)
(904) 880-6551
Entity
Organization
Contact information
Practice address
3721 SAN JOSE PLACE, SUITE 5, JACKSONVILLE, FL 32257-6054
(904) 880-6551
(904) 880-6552
Mailing address
3721 SAN JOSE PLACE, SUITE 5, JACKSONVILLE, FL 32257-6054
(904) 880-6551
(904) 880-6552
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TT8185
FL
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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