MEDICARE: YANET ZAMORA

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	MA103137	FL

General Provider Information

NPI Number	:	1730920877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANET ZAMORA

Provider Business Mailing Address
First Line	:	4829 SPRINGFIELD ST
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-2282
Country	:	US
Telephone Number	:	561-785-7008
Fax Number	:

Provider Business Practice Location Address
First Line	:	5310 DONALD ROSS RD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-7262
Country	:	US
Telephone Number	:	561-785-7008
Fax Number	:

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

Provider Enumeration Date	:	06/03/2024
Last Update Date	:	06/03/2024

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Directions to “ YANET ZAMORA ” Practice Location

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