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NPI Code Detail

MEDICARE: JEAN GERMAIN RRT

MEDICARE: JEAN GERMAIN RRT
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
12279G1100XGeneral Care Registered Respiratory TherapistRT7054FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RT7054OTHERFLRESPIRATORY THERAPIST

General Provider Information

NPI Number : 1154574762
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN GERMAIN RRT
Provider Business Mailing Address
First Line : 2959 W MIDWAY RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34981-4956
Country : US
Telephone Number : 772-462-6601
Fax Number : 772-462-6634
Provider Business Practice Location Address
First Line : 2959 W MIDWAY RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34981-4956
Country : US
Telephone Number : 772-462-6601
Fax Number : 772-462-6634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2008
Last Update Date : 10/28/2008

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Directions to “ JEAN GERMAIN RRT” Practice Location

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