Healthcare Provider Details

I. General information

NPI: 1598971202
Provider Name (Legal Business Name): TONIA MONIQUE MENZIES CRTT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 NE 68TH ST
MIAMI FL
33138-5447
US

IV. Provider business mailing address

98 NE 68TH ST
MIAMI FL
33138-5447
US

V. Phone/Fax

Practice location:
  • Phone: 305-754-1183
  • Fax:
Mailing address:
  • Phone: 305-754-1183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberTT 10418
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: