MEDICARE: MRS. MARIE GERLYNE CELESTIN RESPIRATORY THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	227900000X	Registered Respiratory Therapist	RT11826	FL

General Provider Information

NPI Number	:	1134463581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIE GERLYNE CELESTIN RESPIRATORY THERAPY

Provider Business Mailing Address
First Line	:	1168 NW 116TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33168-6227
Country	:	US
Telephone Number	:	305-926-4281
Fax Number	:	786-274-1346

Provider Business Practice Location Address
First Line	:	1168 NW 116TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33168-6227
Country	:	US
Telephone Number	:	305-926-4281
Fax Number	:	786-274-1346

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2012
Last Update Date	:	11/23/2012

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