Individual
MANOJ GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10760 SW 11TH DR, NONE, DAVIE, FL 33324-4153
(954) 805-5315
Mailing address
10760 SW 11TH DR, NONE, DAVIE, FL 33324-4153
(954) 805-5315
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
RT 12312
FL
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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