<Unavail>

LBN: Beacon Respiratory Services, Inc.
<Unavail> is an health care organization with primary practice located at 1701 Se Tiffany Ave Suite 104, Port St Lucie FL 34952. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty. Beacon Respiratory Services, Inc. can be contacted via phone (772) 337-4326, or through Russalesi, Wendy via phone (484) 246-9499.

Contact Information

Primary practice address
1701 Se Tiffany Ave Suite 104 Port St Lucie FL 34952
Phone: (772) 337-4326
Fax: (772) 335-3916
Website:
Map and Directions
Authorized official contact:
Name: Russalesi, Wendy
Phone: (484) 246-9499

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X

Profile Details

NPI number 1689983355
LBN Legal business name Beacon Respiratory Services, Inc.
DBA Doing business as <Unavail>
Authorized official Russalesi, Wendy
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 29th, 2010
Last updated Oct 13th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689983355 NPPES
Florida MEDICAID 008352600

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