Healthcare Provider Details

I. General information

NPI: 1710604236
Provider Name (Legal Business Name): JYH SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2022
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5814 N CAMERON AVE
TAMPA FL
33614-5508
US

IV. Provider business mailing address

5814 N CAMERON AVE
TAMPA FL
33614-5508
US

V. Phone/Fax

Practice location:
  • Phone: 786-942-1742
  • Fax:
Mailing address:
  • Phone: 786-942-1742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: JORGE YASMANI HERNANDEZ GARCIA
Title or Position: PRESIDENT
Credential:
Phone: 786-942-1742