Organization
FLORIDA RESPIRATORY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ANTONIO GOURGUE (OWNER)
(786) 326-8512
Entity
Organization
Contact information
Practice address
15490 SW 230TH ST, MIAMI, FL 33170-6900
(786) 326-8512
(786) 404-3481
Mailing address
15490 SW 230TH ST, MIAMI, FL 33170-6900
(786) 326-8512
(786) 404-3481
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT9098
FL
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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