Organization
YAKSIC GROUP LLC
Active
Other names
Nobel Medical Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA M YAKSIC (MANAGER)
(305) 330-5009
Entity
Organization
Contact information
Practice address
12856 SW 211TH TER, MIAMI, FL 33177-7439
(305) 330-5009
(844) 860-0611
Mailing address
1900 CORAL WAY, STE 202, CORAL GABLES, FL 33145-2661
(305) 330-5009
(844) 860-0611
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L16000115325
DOCUMENT NUMBER
FL
Enumeration date
07/28/2016
Last updated
11/08/2016
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