Provider Demographics
NPI:1003327529
Name:TOME, YEISY
Entity Type:Individual
Prefix:
First Name:YEISY
Middle Name:
Last Name:TOME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 RADIUS DR APT 705
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-7711
Mailing Address - Country:US
Mailing Address - Phone:786-972-2672
Mailing Address - Fax:
Practice Address - Street 1:1830 RADIUS DR APT 705
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-7711
Practice Address - Country:US
Practice Address - Phone:786-972-2672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-24
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12236111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor