Organization
YANEVERT SERVICES , CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YANELYS FUNDORA LMT (THERAPIES)
(786) 252-2256
Entity
Organization
Contact information
Practice address
21130 SW 87TH AVE APT 202, CUTLER BAY, FL 33189-7387
(786) 252-2256
Mailing address
21130 SW 87TH AVE APT 202, CUTLER BAY, FL 33189-7387
(786) 252-2256
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
MA58827
FL
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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