Individual
MR. PHILLIP DALE SLOCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
501 SW 167TH AVE, WESTON, FL 33326-1501
(954) 249-1325
Mailing address
501 SW 167TH AVE, WESTON, FL 33326-1501
(954) 249-1325
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT7531
FL
Other
Enumeration date
02/12/2011
Last updated
02/12/2011
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