Organization
ISLAND HOME RESPIRATORY CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY JOHN LANCASTER (OWNER)
(904) 553-6732
Entity
Organization
Contact information
Practice address
4711 US HIGHWAY 17, UNIT 1, ORANGE PARK, FL 32003-8233
(904) 553-6732
(904) 264-5801
Mailing address
4711 US HIGHWAY 17, UNIT 1, ORANGE PARK, FL 32003-8233
(904) 553-6732
(904) 264-5801
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
TT-0007659
CA
Other
Enumeration date
06/11/2006
Last updated
03/17/2009
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