Individual
DR. STEPHEN L. YAVELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
721 W ROBERTSON ST, SUITE 108, BRANDON, FL 33511-4934
(813) 684-4221
(813) 653-2442
Mailing address
721 W ROBERTSON ST, SUITE 108, BRANDON, FL 33511-4934
(813) 684-4221
(813) 653-2442
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0044136
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040052100
—
FL
Enumeration date
02/24/2006
Last updated
07/08/2007
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