Organization
AIRLIFE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD FRANK BRAUCKMULLER (GENERAL MANAGER)
(863) 965-4410
Entity
Organization
Contact information
Practice address
205 MAIN ST, AUBURNDALE, FL 33823-3403
(863) 965-4410
(863) 965-4412
Mailing address
205 MAIN ST, AUBURNDALE, FL 33823-3403
(863) 965-4410
(863) 965-4412
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1312636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030897800
—
FL
Enumeration date
08/12/2005
Last updated
04/26/2021
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