Individual
PHEDETTE COURAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
335 S KROME AVE, FLORIDA CITY, FL 33034-4906
(305) 242-8122
Mailing address
13020 SW 256TH ST, HOMESTEAD, FL 33032-6925
(305) 910-5460
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
TT13768
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TT 13768
RESPIRATORY THERAPY
FL
Enumeration date
07/11/2008
Last updated
07/11/2008
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