Individual
MRS. YAMILLE BARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7700 SW 104 ST, PINECREST, FL 33156
(305) 279-7546
(305) 279-7546
Mailing address
5444 NW 111TH CT, DORAL, FL 33178-3901
(305) 599-0152
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100982
FL
Other
Enumeration date
04/10/2007
Last updated
08/30/2010
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