Provider Demographics
NPI:1235451345
Name:MALARY, RENE MERLIN (RRT)
Entity type:Individual
Prefix:MR
First Name:RENE
Middle Name:MERLIN
Last Name:MALARY
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
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Mailing Address - Street 1:11910 SW 187TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-3208
Mailing Address - Country:US
Mailing Address - Phone:305-235-3492
Mailing Address - Fax:305-235-2075
Practice Address - Street 1:9329 SW 170TH ST
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-4439
Practice Address - Country:US
Practice Address - Phone:305-235-3492
Practice Address - Fax:305-235-2075
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLRT70712279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health