MEDICARE: YASMIN VERNISSA ANTHONY-HARRIS

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
1	225700000X	Massage Therapist	MA95858	FL

General Provider Information

NPI Number	:	1710571914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASMIN VERNISSA ANTHONY-HARRIS

Provider Business Mailing Address
First Line	:	2001 MARSH HARBOR DR
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-6437
Country	:	US
Telephone Number	:	561-418-4659
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 MARSH HARBOR DR
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-6437
Country	:	US
Telephone Number	:	561-418-4659
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2021
Last Update Date	:	02/28/2021

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Directions to “ YASMIN VERNISSA ANTHONY-HARRIS ” Practice Location

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