Organization
MID-FLORIDA PULMONARY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SABARETNAM YOGENDRA M.D. (PRESIDENT)
(352) 483-1960
Entity
Organization
Contact information
Practice address
720 N BAY ST STE 4, EUSTIS, FL 32726
(352) 483-1960
(352) 483-0660
Mailing address
720 N BAY ST STE 4, EUSTIS, FL 32726-2964
(352) 483-1960
(352) 483-0660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME55648
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039648600
—
FL
Enumeration date
11/27/2007
Last updated
07/22/2019
Update your record
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