# SOUTHERN RESPIRATORY, LLC.

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

## Provider details

- **NPI number:** 1801975701
- **Authorized official:** HAL B CHESTNUT (MANAGER)
- **Authorized official phone:** (352) 483-5588

## Contact information

- **Practice address:** 918 ROLLING ACRES RD, \#5, LADY LAKE, FL 32159-5027
- **Practice address phone:** (352) 350-2122
- **Practice address fax:** (352) 350-2119
- **Mailing address:** PO BOX 872, MOUNT DORA, FL 32756-0872
- **Mailing address phone:** (352) 483-5588
- **Mailing address fax:** (352) 483-5589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 08/22/2020