Individual
JOHN RAYMOND YANDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15601 REDINGTON DR, REDINGTON BEACH, FL 33708-1739
(727) 512-4316
Mailing address
15601 REDINGTON DR, REDINGTON BEACH, FL 33708-1739
(727) 512-4316
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA003680
GA
225200000X
Physical Therapy Assistant
Primary
PTA26802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA003680
GA SECRETARY OF STATE
GA
01
—
PTA26802
STATE OF FL - DEPARTMENT OF HEALTH
FL
Enumeration date
07/15/2016
Last updated
09/05/2016
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