Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH 8380 | FL |
NPI | 1265633846 |
---|---|
Provider Name | Ms. Yanurys Tait |
First Address | Miami, FL 33155-1693 |
Second Address | Miami, FL 33155-1693 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 08/07/2007 |