Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | ME106711 | FL |
NPI | 1013358332 |
---|---|
Provider Name | Dr. Deborah Yasmin Cova |
First Address | North Miami, FL 33181-2541 |
Second Address | Aventura, FL 33160-2526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2013 |
Last Update Date | 20/01/2017 |