Provider Demographics
NPI:1639057326
Name:FERRER VARGAS, YAMILEIDIS (NP)
Entity type:Individual
Prefix:
First Name:YAMILEIDIS
Middle Name:
Last Name:FERRER VARGAS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 WAKULLA WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-3318
Mailing Address - Country:US
Mailing Address - Phone:812-850-4977
Mailing Address - Fax:
Practice Address - Street 1:1706 WAKULLA WAY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-3318
Practice Address - Country:US
Practice Address - Phone:812-850-4977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11039884363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner