Provider Demographics
NPI:1093928129
Name:CASIMIR, YANICK (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:YANICK
Middle Name:
Last Name:CASIMIR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:YANICK
Other - Middle Name:
Other - Last Name:EUGENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1350 NW 14TH ST
Mailing Address - Street 2:SUITE 350
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1609
Mailing Address - Country:US
Mailing Address - Phone:305-575-3800
Mailing Address - Fax:305-575-3803
Practice Address - Street 1:8175 NW 12TH ST
Practice Address - Street 2:SUITE 306
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1828
Practice Address - Country:US
Practice Address - Phone:786-845-0173
Practice Address - Fax:786-845-0176
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1898512363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL300691300Medicaid
FL300691300Medicaid