Provider Demographics
NPI:1265925499
Name:HAFED, YAMEN (MD)
Entity type:Individual
Prefix:
First Name:YAMEN
Middle Name:
Last Name:HAFED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9075 SW 87TH AVE STE 414
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2308
Mailing Address - Country:US
Mailing Address - Phone:305-273-5060
Mailing Address - Fax:305-274-0003
Practice Address - Street 1:9075 SW 87TH AVE STE 414
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2308
Practice Address - Country:US
Practice Address - Phone:305-273-5060
Practice Address - Fax:305-274-0003
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-11306208000000X
FLME150753207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
No208000000XAllopathic & Osteopathic PhysiciansPediatrics