Provider Demographics
NPI:1982973335
Name:FEITO, YURI (PHD,)
Entity Type:Individual
Prefix:DR
First Name:YURI
Middle Name:
Last Name:FEITO
Suffix:
Gender:M
Credentials:PHD,
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6051 PALM TRACE LANDING DR
Mailing Address - Street 2:APT. 304
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-1845
Mailing Address - Country:US
Mailing Address - Phone:305-733-5657
Mailing Address - Fax:
Practice Address - Street 1:11300 NE SECOND AVENUE
Practice Address - Street 2:BARRY UNIVERSITY- HPLS
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33161
Practice Address - Country:US
Practice Address - Phone:305-899-4944
Practice Address - Fax:305-899-4809
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist