Individual
MS. SUSANA IBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 SW 40TH ST # 471, MIAMI, FL 33155-3708
(786) 444-0434
Mailing address
6800 SW 40TH ST # 471, MIAMI, FL 33155-3708
(786) 444-0434
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
TT15689
FL
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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