Healthcare Provider Details

I. General information

NPI: 1982900742
Provider Name (Legal Business Name): AMALFI GARCIA CRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2011
Last Update Date: 01/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11885 SW 81ST ST
MIAMI FL
33183-4801
US

IV. Provider business mailing address

11885 SW 81ST ST
MIAMI FL
33183-4801
US

V. Phone/Fax

Practice location:
  • Phone: 305-598-8764
  • Fax:
Mailing address:
  • Phone: 305-598-8764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberTT 14674
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: