Ying & Yang Rejuvenation Corp | |
6741 Sw 24th St Ste 42 Miami FL 33155-1767 | |
(305) 842-4447 | |
Not Available |
Full Name | Ying & Yang Rejuvenation Corp |
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Speciality | Clinic/Center |
Location | 6741 Sw 24th St Ste 42, Miami, Florida |
Authorized Official Name and Position | Youlys Vento (OWNER) |
Authorized Official Contact | 7866445691 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ying & Yang Rejuvenation Corp 6741 Sw 24th St Ste 42 Miami FL 33155-1767 Ph: (786) 644-5691 | Ying & Yang Rejuvenation Corp 6741 Sw 24th St Ste 42 Miami FL 33155-1767 Ph: (305) 842-4447 |
NPI Number | 1861086431 |
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Provider Enumeration Date | 02/24/2021 |
Last Update Date | 07/30/2021 |
Medicare PECOS PAC ID | 3476950544 |
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Medicare Enrollment ID | O20210916002683 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861086431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Provider Name | Sudeep Singh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104173210 PECOS PAC ID: 8123322237 Enrollment ID: I20161114002416 |
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