Depena, Yudelka

Depena, Yudelka is an sole proprietor health care provider with primary practice located at 2324 Taylor St , Hollywood FL 33020-4464. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Depena, Yudelka can be contacted via phone (917) 474-7870.

Contact Information

Primary practice address
2324 Taylor St Hollywood FL 33020-4464
Phone: (917) 474-7870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1942548441
LBN Legal business name Depena, Yudelka
Credentials ITDS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2013
Last updated Sep 16th, 2021 - about 5 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 1942548441 NPPES
Florida MEDICAID 011151500

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