Provider Demographics
NPI:1366610412
Name:GULFVIEW RESPIRATORY CARE SERVICES
Entity type:Organization
Organization Name:GULFVIEW RESPIRATORY CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-688-8290
Mailing Address - Street 1:4129 MARINER BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-2469
Mailing Address - Country:US
Mailing Address - Phone:352-688-8290
Mailing Address - Fax:352-688-6388
Practice Address - Street 1:4129 MARINER BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-2469
Practice Address - Country:US
Practice Address - Phone:352-688-8290
Practice Address - Fax:352-688-6388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL598332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0334600001Medicare NSC