Organization
WHITE COAT RESTORE & REVIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANETSY OLIVERA ARENCIBIA MD (PHYSICIAN)
(305) 608-7401
Entity
Organization
Contact information
Practice address
7916 NW 162ND ST, MIAMI LAKES, FL 33016-6111
(305) 608-7401
(279) 300-3517
Mailing address
7916 NW 162ND ST, MIAMI LAKES, FL 33016-6111
(305) 608-7401
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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