Healthcare Provider Details

I. General information

NPI: 1629460548
Provider Name (Legal Business Name): DAPHNEE DELBRUN TT15820
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2015
Last Update Date: 03/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20800 NW MIAMI PL
MIAMI FL
33169-2207
US

IV. Provider business mailing address

20800 NW MIAMI PL
MIAMI FL
33169-2207
US

V. Phone/Fax

Practice location:
  • Phone: 305-467-6246
  • Fax:
Mailing address:
  • Phone: 305-467-6246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberTT15820
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: