MEDICARE: JU YANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA105852	FL

General Provider Information

NPI Number	:	1285444893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JU YANG

Provider Business Mailing Address
First Line	:	1800 SW 25TH ST APT 2107
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-2446
Country	:	US
Telephone Number	:	626-990-6680
Fax Number	:

Provider Business Practice Location Address
First Line	:	5825 SUNSET DR STE 310
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5222
Country	:	US
Telephone Number	:	626-990-6680
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2025
Last Update Date	:	01/08/2025

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Directions to “ JU YANG ” Practice Location

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