Healthcare Provider Details

I. General information

NPI: 1922525625
Provider Name (Legal Business Name): GREY M ALBA RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2017
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 SW 73RD AVE UNIT C
MIAMI FL
33155-4520
US

IV. Provider business mailing address

4101 SW 73RD AVE UNIT C
MIAMI FL
33155-4520
US

V. Phone/Fax

Practice location:
  • Phone: 305-248-1003
  • Fax: 305-248-1009
Mailing address:
  • Phone: 305-248-1003
  • Fax: 305-248-1009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT16465
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: