Individual
MR. ANTONIO EZEQUIEL OLAECHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
906 SW 149TH CT, MIAMI, FL 33194-2931
(786) 302-8374
Mailing address
906 SW 149TH CT, MIAMI, FL 33194-2931
(786) 302-8374
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
TT15304
FL
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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