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Individual
MARC J YACHT
Active
Individual
MARC J YACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME41785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042098100
—
FL
01
—
96169
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/13/2006
Last updated
09/22/2008
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