MEDICARE: MR. JEAN PAUL HILAIRE

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	2278H0200X	Home Health Certified Respiratory Therapist	TT12855	FL

General Provider Information

NPI Number	:	1124464524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEAN PAUL HILAIRE

Provider Business Mailing Address
First Line	:	1832 NW 207TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-5053
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1832 NW 207TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-5053
Country	:	US
Telephone Number	:	305-323-6144
Fax Number	:

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

Provider Enumeration Date	:	05/13/2013
Last Update Date	:	05/13/2013

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