Provider Demographics
NPI:1578993861
Name:VERDECIA, YURIMA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:YURIMA
Middle Name:
Last Name:VERDECIA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1495 NW 20TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-7723
Mailing Address - Country:US
Mailing Address - Phone:305-549-6000
Mailing Address - Fax:305-549-6006
Practice Address - Street 1:1495 NW 20TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-7723
Practice Address - Country:US
Practice Address - Phone:305-549-6000
Practice Address - Fax:305-549-6006
Is Sole Proprietor?:No
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9107579363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical