Healthcare Provider Details

I. General information

NPI: 1649475237
Provider Name (Legal Business Name): DONALD HADDON FINCH RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 BROKEN SOUND PKWY NW SUITE 500
BOCA RATON FL
33487-2773
US

IV. Provider business mailing address

11713 SAND CASTLE LN
PANAMA CITY FL
32407-4530
US

V. Phone/Fax

Practice location:
  • Phone: 561-367-1175
  • Fax: 561-417-7443
Mailing address:
  • Phone: 352-256-7334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number5671
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT 7923
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: