MEDICARE: YAMO INC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1407479033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YAMO INC

Provider Business Mailing Address
First Line	:	260 95TH ST STE 202
Second Line	:
City	:	SURFSIDE
State	:	FL
Zip	:	33154-2807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	260 95TH ST STE 202
Second Line	:
City	:	SURFSIDE
State	:	FL
Zip	:	33154-2807
Country	:	US
Telephone Number	:	305-865-0453
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YUDAH ARI BENMERGUI
Credential	:
Telephone Number	:	305-865-0453

Provider Enumeration Date	:	05/18/2020
Last Update Date	:	05/18/2020

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Directions to “YAMO INC ” Practice Location

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