Provider Demographics
NPI: | 1053129437 |
---|---|
Name: | CARDIOPULMONARY TRAINING CENTER |
Entity type: | Organization |
Organization Name: | CARDIOPULMONARY TRAINING CENTER |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MANAGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHERYNA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HAMILTON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | RRT |
Authorized Official - Phone: | 321-947-5106 |
Mailing Address - Street 1: | 771 S KIRKMAN RD STE 110 |
Mailing Address - Street 2: | |
Mailing Address - City: | ORLANDO |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 32811-2039 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 321-947-5106 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 771 S KIRKMAN RD STE 110 |
Practice Address - Street 2: | |
Practice Address - City: | ORLANDO |
Practice Address - State: | FL |
Practice Address - Zip Code: | 32811-2039 |
Practice Address - Country: | US |
Practice Address - Phone: | 321-947-5106 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-12-18 |
Last Update Date: | 2024-12-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2279P1005X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Rehabilitation | Group - Multi-Specialty |
No | 2278H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Home Health | Group - Multi-Specialty |
No | 2279C0205X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Critical Care | Group - Multi-Specialty |
No | 2279G1100X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | General Care | Group - Multi-Specialty |
No | 2279P1004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Diagnostics | Group - Multi-Specialty |
No | 2279P1006X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Function Technologist | Group - Multi-Specialty |
No | 2279P4000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Patient Transport | Group - Multi-Specialty |