Provider Demographics
NPI:1609908557
Name:JULES, MARIE A (CRT)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:A
Last Name:JULES
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:MR
Other - First Name:JOSE
Other - Middle Name:M
Other - Last Name:JULES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRT
Mailing Address - Street 1:14611 NW 13TH RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33167-1113
Mailing Address - Country:US
Mailing Address - Phone:305-688-5247
Mailing Address - Fax:
Practice Address - Street 1:14611 NW 13TH RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33167-1113
Practice Address - Country:US
Practice Address - Phone:305-688-5247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT128772278H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health