MEDICARE: YAMILA COLON MSOT

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	225X00000X	Occupational Therapist	23687	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770294092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAMILA COLON MSOT

Provider Business Mailing Address
First Line	:	14834 SW 45TH LN
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-4324
Country	:	US
Telephone Number	:	786-338-5639
Fax Number	:

Provider Business Practice Location Address
First Line	:	14834 SW 45TH LN
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-4324
Country	:	US
Telephone Number	:	786-338-5639
Fax Number	:

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

Provider Enumeration Date	:	12/07/2022
Last Update Date	:	12/07/2022

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Directions to “ YAMILA COLON MSOT” Practice Location

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