Individual
ELSIE MARIE YEYKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6871 BELFORT OAKS PL, JACKSONVILLE, FL 32216-6242
(904) 674-0022
(904) 425-0192
Mailing address
1548 ANSLEY PL, ST JOHNS, FL 32259-5208
(810) 441-4941
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070649
—
OH
01
—
0F96004
MEDICARE GROUP NUMBER
MI
Enumeration date
06/03/2008
Last updated
05/03/2021
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