Provider Demographics
NPI:1336467851
Name:FLEURANVIL, FABIOLA (RRT)
Entity Type:Individual
Prefix:
First Name:FABIOLA
Middle Name:
Last Name:FLEURANVIL
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 681342
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-1342
Mailing Address - Country:US
Mailing Address - Phone:305-331-8457
Mailing Address - Fax:
Practice Address - Street 1:1762 NW 142ND LN
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-2175
Practice Address - Country:US
Practice Address - Phone:305-331-8457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT96052279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care