# SEABREEZE OXYGEN & MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770565665
- **Authorized official:** MR. XAVIER LOUIS DECKER RRT (OWNER REGISTERED RESPIRATORY THERAP)
- **Authorized official phone:** (352) 799-0770

## Contact information

- **Practice address:** 1150 W JEFFERSON ST, BROOKSVILLE, FL 34601-2434
- **Practice address phone:** (352) 799-0770
- **Practice address fax:** (352) 799-7080
- **Mailing address:** 1150 W JEFFERSON ST, BROOKSVILLE, FL 34601-2434
- **Mailing address phone:** (352) 799-0770
- **Mailing address fax:** (352) 799-7080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 37 8012068221 2 | FL | Yes |

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 08/22/2020