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NPI Code Detail

MEDICARE: YANIRA ESPIN SALAZAR M.S

MEDICARE:   YANIRA  ESPIN SALAZAR  M.S
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
1101YM0800XMental Health CounselorIMH 7909FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1IMH 7909OTHERFLREGISTERED MENTAL HEALTH COUNSELOR INTERN

General Provider Information

NPI Number : 1700191772
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANIRA ESPIN SALAZAR M.S
Provider Business Mailing Address
First Line : 7501 WILES RD
Second Line : SUITE 202
City : CORAL SPRINGS
State : FL
Zip : 33067-2063
Country : US
Telephone Number : 772-249-4463
Fax Number : 772-249-4471
Provider Business Practice Location Address
First Line : 1511 SE PORT ST LUCIE BLVD
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34952-5478
Country : US
Telephone Number : 772-249-4463
Fax Number : 772-249-4471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2010
Last Update Date : 12/23/2011

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