Organization
TRI COUNTY COUNTY RESPIRATORY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW V COHEN (CEO)
(954) 421-8385
Entity
Organization
Contact information
Practice address
160 SW 12TH AVE, # 107, DEERFIELD BEACH, FL 33442-3119
(954) 421-8385
Mailing address
160 SW 12TH AVENUE, # 107, DEERFIELD BEACH, FL 33441
(954) 421-8385
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
326518
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
326518
STATE OF FLORIDA OXYGEN R
FL
Enumeration date
04/26/2007
Last updated
08/22/2020
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