Ceballos, Yenny M

Ceballos, Yenny M is an individual health care provider with primary practice located at 5975 Sunset Dr Ste 402 , South Miami FL 33143-5198. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ceballos, Yenny M can be contacted via phone (305) 968-1996.

Contact Information

Primary practice address
5975 Sunset Dr Ste 402 South Miami FL 33143-5198
Phone: (305) 968-1996
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9264957 Florida

Profile Details

NPI number 1063848356
LBN Legal business name Ceballos, Yenny M
Credentials ARNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2013
Last updated Mar 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063848356 NPPES
Florida MEDICAID 012051400

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