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Organization
LINDA YARRIS-EWERT PHD MD PA
Active
Organization
LINDA YARRIS-EWERT PHD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA MARIAN YARRIS-EWERT PHD, MD (PHYSICIAN/OWNER)
(239) 274-2071
Entity
Organization
Contact information
Practice address
12545 NEW BRITTANY BLVD, FORT MYERS, FL 33907-3625
(239) 274-2071
Mailing address
12545 NEW BRITTANY BLVD, FORT MYERS, FL 33907-3625
(239) 274-2071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0064852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194736
STAYWELL HEALTHY KIDS
FL
01
—
23801
BLUE CROSS BLUE SHIELD
FL
01
—
2666792
AETNA HEALTHCARE
FL
01
—
374409400
MEDICAID
FL
01
—
AS19990440001
CIGNA INSURANCE
FL
Enumeration date
12/19/2008
Last updated
01/07/2009
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