NPI 1104943687

Kenneth Antonio Gourgue

Practitioner Certified Respiratory Therapist Miami, FL

Practice location

Address: 15490 SW 230th St, Miami, FL 33170-6900
Phone: (786) 326-8512
Fax: (305) 256-4277

Registered specialties

Certified Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 227800000X Licence TT 11458 (FL)

Other Respiratory Therapist, Certified providers in Florida →

Registry record

NPI: 1104943687
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.