Individual
MR. WISLY LEFEVRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
20520 NW 2ND CT, MIAMI, FL 33169-2515
(786) 397-0996
Mailing address
20520 NW 2ND CT, MIAMI, FL 33169-2515
(786) 397-0996
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
RT11398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RT11398
LICENSE
FL
Enumeration date
07/30/2012
Last updated
07/30/2012
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