Provider Demographics
NPI:1255770111
Name:NAVA, YASIBIT (DAOM, AP)
Entity type:Individual
Prefix:MRS
First Name:YASIBIT
Middle Name:
Last Name:NAVA
Suffix:
Gender:F
Credentials:DAOM, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11501 SW 250TH ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:FL
Mailing Address - Zip Code:33032-6040
Mailing Address - Country:US
Mailing Address - Phone:305-951-7923
Mailing Address - Fax:
Practice Address - Street 1:9500 NW 41ST ST STE 1000
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2316
Practice Address - Country:US
Practice Address - Phone:305-477-6366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3253171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist