# DAVID K YOON MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JENA MEDICAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417144270
- **Authorized official:** DOLORES VANDERMAELEN (ADMINISTRATOR)
- **Authorized official phone:** (386) 677-2606

## Contact information

- **Practice address:** 1180 W GRANADA BLVD, SUITE B, ORMOND BEACH, FL 32174-8165
- **Practice address phone:** (386) 676-2606
- **Practice address fax:** (386) 672-5341
- **Mailing address:** 1180 W GRANADA BLVD, SUITE B, ORMOND BEACH, FL 32174-8165
- **Mailing address phone:** (386) 676-2606
- **Mailing address fax:** (386) 672-5341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 03/02/2012