Healthcare Provider Details

I. General information

NPI: 1427585215
Provider Name (Legal Business Name): GEORGES REMY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 05/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 SW 52ND AVE 107
PEMBROKE PARK FL
33023-6968
US

IV. Provider business mailing address

3720 SAW 52 AV 107
PEMBROKE PARK FL
33023
US

V. Phone/Fax

Practice location:
  • Phone: 770-331-6297
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberTT16005
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: