MEDICARE: MR. RUDY A VILBRUN 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	227900000X	Registered Respiratory Therapist
2	2279G1100X	General Care Registered Respiratory Therapist	RT 8371	FL
3	2279H0200X	Home Health Registered Respiratory Therapist

General Provider Information

NPI Number	:	1437175510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RUDY A VILBRUN RRT

Provider Business Mailing Address
First Line	:	8291 EMERALD WINDS CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33473-7839
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8291 EMERALD WINDS CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33473-7839
Country	:	US
Telephone Number	:	561-628-9924
Fax Number	:

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	03/12/2019

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