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Organization
EXCEL RESPIRATORY SOLUTIONS, LLC
Active
Organization
EXCEL RESPIRATORY SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK RANDAL HAGMAN (PRESIDENT)
(863) 698-3111
Entity
Organization
Contact information
Practice address
334 3RD ST NW, WINTER HAVEN, FL 33881-4002
(863) 299-2500
(863) 299-2511
Mailing address
334 3RD ST NW, WINTER HAVEN, FL 33881-4002
(863) 299-2500
(863) 299-2511
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
3204482
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1312801
FL MEDICAL EQUIPMENT LIC
FL
01
—
24002
WINTER HAVEN OCCP LIC
FL
01
—
3204482
FL MEDICAL OXYGEN PERMIT
FL
01
—
99700007892
POLK COUNTY OCCP LIC
FL
01
—
R9798
BLUE CROSSBLUE SHIELD
FL
Enumeration date
01/10/2007
Last updated
03/05/2008
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