Individual provider · NPI-1

Shawn Anthony Amaya, CRT

Respiratory Therapist, Certified · Orlando, FL

NPI number1154902013
StatusActive
Last updated in NPPESApr 21, 2021

Details

NPI
1154902013
Entity type
Individual (NPI-1)
Name
Mr. Shawn Anthony Amaya
Credential
CRT
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 21, 2021
Certification date
Apr 20, 2021
Last updated
Apr 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
227800000X Respiratory Therapist, CertifiedTT14750FLYes

Practice location

2250 Bedford Rd # Rod
Orlando, FL 32803-1443

Phone 407-303-7869

Mailing address

40140 Swift Rd
Eustis, FL 32736-9560

Phone 954-338-0230

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