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Individual

DR. ESSIE KUEBERUWA YATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
407 SE 24TH ST, FORT LAUDERDALE, FL 33316-3915
(954) 463-5208
(954) 463-5288
Mailing address
407 SE 24TH ST, FORT LAUDERDALE, FL 33316-3915
(954) 463-5208
(954) 463-5288

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME126632
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
125057593
IL

Other

Enumeration date
11/26/2010
Last updated
09/20/2023
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