Individual
TAKUMI YAMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 383-1011
(904) 244-7066
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 383-1015
(904) 244-8172
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1013
MN
207RC0000X
Cardiovascular Disease Physician
1974
FL
207RC0000X
Cardiovascular Disease Physician
L3392SP
AL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
1974
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
L3392SP
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051114167
BCBS OF AL
—
01
—
051114193
BCBS OF AL
AL
01
—
051114194
BCBS OF AL
AL
05
—
06430523
—
MS
05
—
125848
—
AL
05
—
125854
—
AL
05
—
125857
—
AL
01
—
Z21078
VIVA
—
Enumeration date
03/15/2011
Last updated
04/15/2026
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