Healthcare Provider Details

I. General information

NPI: 1003532748
Provider Name (Legal Business Name): YHM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2022
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2660 W SR 434
LONGWOOD FL
32779-4400
US

IV. Provider business mailing address

2660 W SR 434
LONGWOOD FL
32779-4400
US

V. Phone/Fax

Practice location:
  • Phone: 407-907-5199
  • Fax:
Mailing address:
  • Phone: 407-907-5199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NERMEEN SALEH
Title or Position: MD
Credential: MD
Phone: 407-491-0798