Healthcare Provider Details
I. General information
NPI: 1851102867
Provider Name (Legal Business Name): YANNI PICADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/17/2025
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8138 W BROWARD BLVD
PLANTATION FL
33324-2000
US
IV. Provider business mailing address
8333 NW 53RD ST FL 6
DORAL FL
33166-4783
US
V. Phone/Fax
- Phone: 954-687-9339
- Fax: 954-539-0364
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN11037139 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: