Provider Demographics
NPI:1538465877
Name:COLL, YVETTE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:MARIE
Last Name:COLL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8520 SW 133 AVE RD #319
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183
Mailing Address - Country:US
Mailing Address - Phone:305-388-7577
Mailing Address - Fax:305-388-7851
Practice Address - Street 1:12595 SW 137TH AVE
Practice Address - Street 2:STE: 107-108
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4220
Practice Address - Country:US
Practice Address - Phone:305-388-7577
Practice Address - Fax:305-388-7851
Is Sole Proprietor?:No
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10228111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor