Individual
MARYENIS LEYET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15924 SW 92ND AVE, PALMETTO BAY, FL 33157-1842
(305) 964-5824
(786) 452-1200
Mailing address
25300 SW 126TH CT, HOMESTEAD, FL 33032-5830
(786) 318-8545
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
R8Y8L6Q7
FL
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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