Individual
MR. YURIT FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2460 SW 137TH AVE STE 248-249, MIAMI, FL 33175-8803
(786) 348-3857
Mailing address
14211 SW 88TH ST APT 412, MIAMI, FL 33186-8044
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
MA 58916
FL
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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