Individual
PHENTON PAILLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19512 NW 7TH CT, MIAMI, FL 33169-3118
(754) 971-0329
Mailing address
19512 NW 7TH CT, MIAMI, FL 33169-3118
(754) 971-0329
Taxonomy
Speciality
Code
Description
License number
State
2279E0002X
Emergency Care Registered Respiratory Therapist
Primary
RT17936
FL
Other
Enumeration date
01/30/2022
Last updated
01/30/2022
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