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Yeny Bannon, PA-C

Physician Assistant in Oviedo, FL. Individual provider (NPI-1).

NPI number1114751237
StatusActive
Last updated in NPPESAug 30, 2024

Details

NPI
1114751237
Entity type
Individual (NPI-1)
Name
Yeny Bannon
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Aug 30, 2024
Certification date
Aug 29, 2024
Last updated
Aug 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

2871 Pewter Mist Ct
Oviedo, FL 32765-5976

Phone 407-437-3746

Mailing address

2871 Pewter Mist Ct
Oviedo, FL 32765-5976

Phone 407-437-3746

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