Individual
TRUDI LAVINIA KROGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
13242 SW 216TH TER, MIAMI, FL 33170-2654
(305) 890-6774
Mailing address
13242 SW 216TH TER, MIAMI, FL 33170-2654
(305) 890-6774
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT10069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017234300
—
FL
01
—
14365308
CAQH
FL
Enumeration date
04/13/2016
Last updated
03/05/2019
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