Provider Demographics
NPI:1891060539
Name:AZOR, HERMIONE THOMAS (RRT)
Entity Type:Individual
Prefix:MRS
First Name:HERMIONE
Middle Name:THOMAS
Last Name:AZOR
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 1:19305 NE 2ND AVE
Mailing Address - Street 2:2318
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3240
Mailing Address - Country:US
Mailing Address - Phone:305-606-4648
Mailing Address - Fax:
Practice Address - Street 1:19305 NE 2ND AVE
Practice Address - Street 2:2318
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-3240
Practice Address - Country:US
Practice Address - Phone:305-606-4648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11801227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered