Organization
ELENA YAMAGUCHI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA YAMAGUCHI MD (OWNER)
(561) 495-9289
Entity
Organization
Contact information
Practice address
13550 JOG RD, SUITE 202A, DELRAY BEACH, FL 33446-3808
(561) 495-9289
(561) 495-9293
Mailing address
13550 JOG RD, SUITE 202A, DELRAY BEACH, FL 33446-3808
(561) 495-9289
(561) 495-9293
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259993700
—
FL
01
—
27681
BLUE CROSS BLUE SHIELD OF FLA
FL
01
—
440002986
RAILROAD MEDICARE
FL
01
—
K5289
MEDICARE GROUP PIN
FL
01
—
NI446
WELLCARE
FL
Enumeration date
08/30/2006
Last updated
05/27/2008
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