Individual
KENNETH H. YAMAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13601 BRUCE B DOWNS BLVD STE 160, TAMPA, FL 33613-4694
(813) 971-2424
(813) 971-2420
Mailing address
13601 BRUCE B DOWNS BLVD STE 160, TAMPA, FL 33613-4694
(813) 971-2424
(813) 971-2420
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME67414
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2336752
AETNA
—
01
—
2500783
UNITED HEALTH CARE
—
01
—
270614
AVMED
—
01
—
27664
BLUE CROSS BLUE SHIELD
—
05
—
378229800
—
FL
01
—
6506906001
CIGNA
—
Enumeration date
10/14/2005
Last updated
10/07/2022
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