MEDICARE: MR. LEVASSEUR PIERRE-LOUIS 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
1	2279G1100X	General Care Registered Respiratory Therapist	RT 9177	FL

General Provider Information

NPI Number	:	1174959415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LEVASSEUR PIERRE-LOUIS RRT

Provider Business Mailing Address
First Line	:	PO BOX 2443
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33061-2443
Country	:	US
Telephone Number	:	754-246-5755
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 NE 22ND WAY APT 105
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-2239
Country	:	US
Telephone Number	:	754-246-5755
Fax Number	:

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

Provider Enumeration Date	:	09/18/2013
Last Update Date	:	09/18/2013

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