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NPI Code Detail

MEDICARE: YUSMARY FERNANDEZ LOPEZ

MEDICARE:   YUSMARY  FERNANDEZ LOPEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language AssistantSI5829FL

General Provider Information

NPI Number : 1447079736
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUSMARY FERNANDEZ LOPEZ
Provider Business Mailing Address
First Line : 201 BONNIE BLVD APT 111
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-1317
Country : US
Telephone Number : 561-298-4944
Fax Number :
Provider Business Practice Location Address
First Line : 201 BONNIE BLVD APT 111
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-1317
Country : US
Telephone Number : 561-298-4944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2024
Last Update Date : 10/04/2024

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Directions to “ YUSMARY FERNANDEZ LOPEZ ” Practice Location

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