Basic Information
| Provider Information | |||||||||
| NPI: | 1609300169 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEZ | ||||||||
| FirstName: | YASIN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1400 NW 10TH AVE STE 1104A | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331361000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052433828 | ||||||||
| FaxNumber: | 3052430143 | ||||||||
| Practice Location | |||||||||
| Address1: | 1695 NW 9TH AVE STE 3308F | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331361409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3053558264 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2017 | ||||||||
| LastUpdateDate: | 10/10/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0804X | ME144888 | FL | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry |
No ID Information.