Healthcare Provider Details

I. General information

NPI: 1629350202
Provider Name (Legal Business Name): RICHARD MUIRHEAD CRTT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 09/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 NW 1ST AVE
MIAMI FL
33127-4901
US

IV. Provider business mailing address

2015 NW 1ST AVE
MIAMI FL
33127-4901
US

V. Phone/Fax

Practice location:
  • Phone: 305-896-0257
  • Fax:
Mailing address:
  • Phone: 305-896-0257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2278C0205X
TaxonomyCritical Care Certified Respiratory Therapist
License NumberTT003433
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: