Healthcare Provider Details

I. General information

NPI: 1568309532
Provider Name (Legal Business Name): YADIRA H NASIFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10951 SW 72ND TER
MIAMI FL
33173-2743
US

IV. Provider business mailing address

16220 SW 107TH AVE
MIAMI FL
33157-2909
US

V. Phone/Fax

Practice location:
  • Phone: 786-291-2578
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: