Provider Demographics
NPI:1548285448
Name:SYMPHONY RESPIRATORY SERVICES
Entity type:Organization
Organization Name:SYMPHONY RESPIRATORY SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FUTCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-325-7777
Mailing Address - Street 1:3500 FINANCIAL PLZ
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-3999
Mailing Address - Country:US
Mailing Address - Phone:800-786-8017
Mailing Address - Fax:888-447-1466
Practice Address - Street 1:2622 LORD BALTIMORE DR
Practice Address - Street 2:SUITE G
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-2639
Practice Address - Country:US
Practice Address - Phone:888-265-2292
Practice Address - Fax:888-265-2757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPW02643336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0939060056Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER