Individual
EDMUND GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRTT
Contact information
Practice address
820 NW 184TH DR, MIAMI, FL 33169-4268
(305) 654-7501
Mailing address
820 NW 184TH DR, MIAMI, FL 33169-4268
(305) 654-7501
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
TT 10959
FL
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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