Individual
DENISE PHILISTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
1990 W NEW HAVEN AVE STE 105, MELBOURNE, FL 32904-3908
(321) 768-6119
(321) 768-1710
Mailing address
1990 W NEW HAVEN AVE STE 105, MELBOURNE, FL 32904-3908
(321) 768-6119
(321) 768-1710
Taxonomy
Speciality
Code
Description
License number
State
2278P1005X
Pulmonary Rehabilitation Certified Respiratory Therapist
Primary
TT11501
FL
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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