Individual
YALIXIS DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 N CRYSTAL LAKE DR APT 43, LAKELAND, FL 33801-6587
(786) 262-4584
(863) 608-7602
Mailing address
1836 N CRYSTAL LAKE DR APT 43, LAKELAND, FL 33801-6587
(786) 262-4584
(863) 608-7602
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015229900
—
FL
Enumeration date
07/07/2015
Last updated
04/13/2016
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