Provider Information for 1992459135
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IZAYANA BOREK LMFT
Sex: Female
NPI: 1992459135
Last Updated: 2022-02-07
Certification Date: 2022-02-07
Certification Date: 2022-02-07
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1992459135 | ||||||||
| Enumeration Date | 2022-02-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 100 SW 110TH AVE APT 141 MIAMI, FL 33174-1256 United States Phone: 786-486-6991 | Fax: | ||||||||
| Primary Practice Address | 151 NW 11TH ST # 201 HOMESTEAD, FL 33030-4360 United States Phone: 786-521-9525 | Fax: | ||||||||
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