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Individual

MR. MIKE THOMAS MADSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RRT

Contact information

Practice address
2727 NW 167TH ST, MIAMI GARDENS, FL 33056-4406
(305) 622-7575
(305) 622-9464
Mailing address
11510 SHERIDAN ST, PEMBROKE PINES, FL 33026-1428
(954) 438-9456
(305) 622-9464

Taxonomy

Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
RT 4532
FL
2279G1100X
General Care Registered Respiratory Therapist
RT4532
FL

Other

Enumeration date
10/28/2008
Last updated
10/28/2008
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