Provider Demographics
NPI:1376675413
Name:GEORGES, ROGER AMBROISE (RRT)
Entity Type:Individual
Prefix:MR
First Name:ROGER
Middle Name:AMBROISE
Last Name:GEORGES
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 1:3350 SW 173RD TER
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-1634
Mailing Address - Country:US
Mailing Address - Phone:954-441-2648
Mailing Address - Fax:
Practice Address - Street 1:3350 SW 173RD TER
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-1634
Practice Address - Country:US
Practice Address - Phone:954-441-2648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRRT7759227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered