Veneracion-Yumul, Anna-Marie Malazarte

Veneracion-Yumul, Anna-Marie Malazarte is an sole proprietor health care provider with primary practice located at 1409 Kingsley Ave Ste 9E, Orange Park FL 32073-4537. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Veneracion-Yumul, Anna-Marie Malazarte can be contacted via phone (904) 215-4151.

Contact Information

Primary practice address
1409 Kingsley Ave Ste 9E Orange Park FL 32073-4537
Phone: (904) 215-4151
Fax: (904) 215-4165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME92819 Florida
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME92819 Florida

Profile Details

NPI number 1710034806
LBN Legal business name Veneracion-Yumul, Anna-Marie Malazarte
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Feb 22nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710034806 NPPES
Florida MEDICAID 272990300
Florida Other 2600109465852

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