MEDICARE: ZAKIYYAH AQUIL R.R.T.

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	RT11710	FL

General Provider Information

NPI Number	:	1780946152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAKIYYAH AQUIL R.R.T.

Provider Business Mailing Address
First Line	:	2520 NW 170TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-4538
Country	:	US
Telephone Number	:	786-261-3168
Fax Number	:

Provider Business Practice Location Address
First Line	:	2520 NW 170TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-4538
Country	:	US
Telephone Number	:	786-261-3168
Fax Number	:

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

Provider Enumeration Date	:	06/12/2012
Last Update Date	:	06/12/2012

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