Healthcare Provider Details

I. General information

NPI: 1447710983
Provider Name (Legal Business Name): CMM CARDIO PULMONARY CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 03/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 PARK RD N
ROYAL PALM BEACH FL
33411-4740
US

IV. Provider business mailing address

162 PARK RD N
ROYAL PALM BEACH FL
33411-4740
US

V. Phone/Fax

Practice location:
  • Phone: 561-568-5914
  • Fax:
Mailing address:
  • Phone: 561-568-5914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: JEAN MICHEL GUERRIER
Title or Position: REGISTERED RESPIRATORY THERAPIST
Credential: RRT
Phone: 561-568-5914