Individual
YEDEL FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16325 SW 288TH ST, HOMESTEAD, FL 33033-1020
(305) 245-2720
Mailing address
16325 SW 288TH ST, HOMESTEAD, FL 33033-1020
(305) 245-2720
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
C11MD2331
FL
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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