Provider Demographics
NPI:1386181634
Name:JONES, LYMUEL (RT)
Entity Type:Individual
Prefix:
First Name:LYMUEL
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:RT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 NW 12TH AVE
Mailing Address - Street 2:#1510
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1051
Mailing Address - Country:US
Mailing Address - Phone:786-346-6315
Mailing Address - Fax:
Practice Address - Street 1:1747 EVANS RD
Practice Address - Street 2:#102
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-3869
Practice Address - Country:US
Practice Address - Phone:321-768-6119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13663227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered