Kenneth Antonio Gourgue in Miami - Respiratory Therapist, Certified
Kenneth Antonio Gourgue - NPI 1104943687
Kenneth Antonio Gourgue is a Respiratory Therapist, Certified in Miami, Florida. Kenneth Antonio Gourgue practices all healthcare services and medical treatments related to Respiratory Therapist, Certified. The NPI Number for Kenneth Antonio Gourgue is 1104943687. The last update date is 2007-07-08.
Kenneth Antonio Gourgue's current location address is 15490 Sw 230th St, Miami, Florida. You can contact this provider via phone number 7863268512 and fax number 3052564277. The mailing address for Kenneth Antonio Gourgue is 15490 Sw 230th St, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Antonio Gourgue |
|---|---|
| Address | 15490 Sw 230th St, Miami, Florida |
| Phone Number | 7863268512 |
| Fax Number | 3052564277 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104943687 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15490 Sw 230th St |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331706900 |
| Phone Number | 7863268512 |
| Fax Number | 3052564277 |
Provider's Primary Taxonomy Detail
| Speciality | Respiratory Therapist, Certified |
|---|---|
| Taxonomy | 227800000X |
| Licence No | TT 11458 |
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Definition: A Certified Respiratory Therapist (CRT) is a an entry level therapist who has passed a standardized written examination administered by the National Board for Respiratory Care (NBRC). CRTs provide diagnostic testing, therapeutics, monitoring, rehabil |
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What is the unique identifier code issued to Kenneth Antonio Gourgue by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth Antonio Gourgue has been assigned the NPI (National Provider Identifier) 1104943687. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kenneth Antonio Gourgue's physical address?
The Kenneth Antonio Gourgue is physically located at 15490 Sw 230Th St, in the city of Miami, FL, with the postal code 331706900.
What is the Kenneth Antonio Gourgue's specialty and taxonomy code?
The Kenneth Antonio Gourgue's specialty is Respiratory Therapist, Certified, and the corresponding taxonomy code is 227800000X.
When was the Kenneth Antonio Gourgue's 1104943687 issued?
The Kenneth Antonio Gourgue's 1104943687 was issued on 2007-03-22.
As of what date were the Kenneth Antonio Gourgue's details last updated?
The information pertaining to the Kenneth Antonio Gourgue, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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