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NPI Code Detail

MEDICARE: YUVONNE MARTIN

MEDICARE: YUVONNE MARTIN
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
1363LA2200XAdult Health Nurse PractitionerAR0763742FL

General Provider Information

NPI Number : 1447277025
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUVONNE MARTIN
Provider Business Mailing Address
First Line : 17521 NW 42ND AVE
Second Line :
City : OPA LOCKA
State : FL
Zip : 33055-3767
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 NW 22ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33142-8429
Country : US
Telephone Number : 786-466-3000
Fax Number : 305-638-6856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 07/08/2007

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Directions to “ YUVONNE MARTIN ” Practice Location

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