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Individual

YUSLEYDIS IBANEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
880 SW 145TH AVE STE 202, PEMBROKE PINES, FL 33027-6171
(866) 849-0692
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10008050
OR
163W00000X
Registered Nurse
858381
NY
163W00000X
Registered Nurse
RN-112141
HI
163W00000X
Registered Nurse
RN771611
PA
163W00000X
Registered Nurse
Primary
RN9436668
FL
363LF0000X
Family Nurse Practitioner
11032831
FL

Other

Enumeration date
03/04/2019
Last updated
01/28/2025
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