Healthcare Provider Details

I. General information

NPI: 1710435730
Provider Name (Legal Business Name): YESICA YABOR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2016
Last Update Date: 09/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16800 NW 2ND AVE STE 400
NORTH MIAMI BEACH FL
33169-5549
US

IV. Provider business mailing address

6527SW133CT
MIAMI FL
33183
US

V. Phone/Fax

Practice location:
  • Phone: 305-542-7652
  • Fax:
Mailing address:
  • Phone: 786-431-6387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9329473
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: