Provider Demographics
NPI:1356454524
Name:EDELMAN, PAUL MORRIS (RRT)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:MORRIS
Last Name:EDELMAN
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20515 E COUNTRY CLUB DR
Mailing Address - Street 2:#848
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3058
Mailing Address - Country:US
Mailing Address - Phone:305-932-9668
Mailing Address - Fax:
Practice Address - Street 1:11428 SW 109TH RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-3148
Practice Address - Country:US
Practice Address - Phone:305-595-8232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT0000514227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered