Provider Demographics
NPI:1669618963
Name:ASSEZ, JEAN L (RRT)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:L
Last Name:ASSEZ
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 1:8849 W LONG ACRE DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2741
Mailing Address - Country:US
Mailing Address - Phone:954-889-4333
Mailing Address - Fax:954-252-0690
Practice Address - Street 1:8849 W LONG ACRE DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-2741
Practice Address - Country:US
Practice Address - Phone:954-889-4333
Practice Address - Fax:954-252-0690
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT9403227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered