Healthcare Provider Details

I. General information

NPI: 1952451510
Provider Name (Legal Business Name): HARRY J BURNS RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2402 SCOTT ST
HOLLYWOOD FL
33020-2355
US

IV. Provider business mailing address

2402 SCOTT ST
HOLLYWOOD FL
33020-2355
US

V. Phone/Fax

Practice location:
  • Phone: 754-244-0324
  • Fax: 186-643-1103
Mailing address:
  • Phone: 754-244-0324
  • Fax: 186-643-1103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279G0305X
TaxonomyGeriatric Care Registered Respiratory Therapist
License NumberRT 5566
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2279P1006X
TaxonomyPulmonary Function Technologist Registered Respiratory Therapist
License NumberRT 5566
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2279P3900X
TaxonomyNeonatal/Pediatric Registered Respiratory Therapist
License NumberRT 5566
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: