Individual
ALIYA YASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2676 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086-6191
(904) 797-2121
(904) 797-2120
Mailing address
2676 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086-6191
(904) 797-2121
(904) 797-2120
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME87309
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267081000
—
FL
Enumeration date
02/27/2006
Last updated
07/12/2007
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