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Individual

YANICK BEAUVOIR MAYNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
7857 W SAMPLE RD SUITE 157, CORAL SPRINGS, FL 33065-4748
(954) 775-0168
(954) 757-7009
Mailing address
4613 N UNIVERSITY DR, CORAL SPRINGS, FL 33067-4602
(561) 350-6699
(954) 757-7009

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2784
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
65614W
MEDICARE ID
FL
Enumeration date
08/31/2006
Last updated
09/28/2017
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