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NPI Code Detail

MEDICARE: NAOMI YERO DO

MEDICARE: NAOMI YERO DO
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
1207Q00000XFamily Medicine PhysicianUO5765FL
2208D00000XGeneral Practice PhysicianOS16872FL
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1487130761
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI YERO DO
Provider Business Mailing Address
First Line : 4694 SW 159TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33185-3814
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8967 TAFT ST
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-4648
Country : US
Telephone Number : 855-226-6633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2018
Last Update Date : 07/30/2020

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Directions to “ NAOMI YERO DO” Practice Location

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