Individual
JESUS BANGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5181 SW 142ND CT, MIAMI, FL 33175-5826
(305) 200-6202
Mailing address
5181 SW 142ND CT, MIAMI, FL 33175-5826
(305) 200-6202
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT 6624
FL
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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