Individual
DR. YENENEH DESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3065
(863) 680-7190
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3065
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME109103
FL
Other
Enumeration date
09/03/2008
Last updated
03/16/2023
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