Individual
YAZAN EBERHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
755 LIME LN, CRESTVIEW, FL 32536-2260
(954) 310-5201
Mailing address
755 LIME LN, CRESTVIEW, FL 32536-2260
(954) 310-5201
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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