MEDICARE: JOSUANE TALLEYRAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2278C0205X	Critical Care Certified Respiratory Therapist	15265	FL

General Provider Information

NPI Number	:	1073935169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSUANE TALLEYRAND

Provider Business Mailing Address
First Line	:	1620 NE 161ST ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4738
Country	:	US
Telephone Number	:	786-955-4615
Fax Number	:

Provider Business Practice Location Address
First Line	:	1620 NE 161ST ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4738
Country	:	US
Telephone Number	:	786-955-4615
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2014
Last Update Date	:	01/09/2014

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Directions to “ JOSUANE TALLEYRAND ” Practice Location

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