Organization
BREATHE A NEW LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHON G MOORE SR. RRT (RESPIRATORY THERAPIST)
(772) 332-9672
Entity
Organization
Contact information
Practice address
3206 ANDERSON DR, FORT PIERCE, FL 34946-1617
(772) 332-9672
Mailing address
3206 ANDERSON DR, FORT PIERCE, FL 34946-1617
(772) 332-9672
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT10049
FL
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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