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Organization
SOUTHERN RESPIRATORY, LLC.
Active
Organization
SOUTHERN RESPIRATORY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAL B CHESTNUT (MANAGER)
(352) 483-5588
Entity
Organization
Contact information
Practice address
918 ROLLING ACRES RD, #5, LADY LAKE, FL 32159-5027
(352) 350-2122
(352) 350-2119
Mailing address
PO BOX 872, MOUNT DORA, FL 32756-0872
(352) 483-5588
(352) 483-5589
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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