Claudaine Achedou
Individual provider Active NPI Certified Respiratory Therapist · Port St Lucie, FL
NPI 1295569671 · NPPES record last updated Aug 28, 2024
Key facts
- NPI
- 1295569671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Respiratory Therapist 227800000X
- License
- TT14627 (FL)
- Practice address
- 502 NW Archer Ave
Port St Lucie, FL 34983-1076 - Phone
- (786) 597-3690
- NPI assigned
- Aug 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TT14627 | FL | MD | Certified Respiratory Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | TT14627 | FL | Yes |
Addresses
Primary practice location
502 NW Archer Ave
Port St Lucie, FL 34983-1076
Mailing address
502 NW Archer Ave
Port St Lucie, FL 34983-1076
Phone (786) 597-3690
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All providers in Port St Lucie, FL · Certified Respiratory Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.