Individual
BIJU JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2418 STONYBROOK DR, WELLINGTON, FL 33414-9343
(954) 471-8514
Mailing address
2418 STONYBROOK DR, WELLINGTON, FL 33414-9343
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
11610
FL
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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