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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