Provider Demographics
NPI:1629253349
Name:JURASEK, YOLIMAR M (LMT)
Entity Type:Individual
Prefix:
First Name:YOLIMAR
Middle Name:M
Last Name:JURASEK
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6767 COLLINS AVE
Mailing Address - Street 2:#402
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-3245
Mailing Address - Country:US
Mailing Address - Phone:786-202-1892
Mailing Address - Fax:305-866-2730
Practice Address - Street 1:6767 COLLINS AVE
Practice Address - Street 2:#402
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3245
Practice Address - Country:US
Practice Address - Phone:786-202-1892
Practice Address - Fax:305-866-2730
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 28082225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist