Individual
MR. EARL S HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
1340 NW 192ND ST, MIAMI, FL 33169-3438
(305) 653-0965
Mailing address
1340 NW 192ND ST, MIAMI, FL 33169-3438
(305) 653-0965
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
TT1691
FL
227800000X
Certified Respiratory Therapist
TT1691
GA
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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