Fiallos, Yanina J

Fiallos, Yanina J is an individual health care provider with primary practice located at 17541 N Dale Mabry Hwy , Lutz FL 33548-4521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fiallos, Yanina J can be contacted via phone (813) 964-1800.

Contact Information

Primary practice address
17541 N Dale Mabry Hwy Lutz FL 33548-4521
Phone: (813) 964-1800
Fax: (813) 964-1880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME69011 Florida

Profile Details

NPI number 1558433359
LBN Legal business name Fiallos, Yanina J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Apr 28th, 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 1558433359 NPPES
Florida Other 123078 HUMANA
Florida MEDICAID 251448600 HUMANA
Florida Other 32240 HUMANA

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