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Individual

WILLIAM A YVORCHUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MDCM

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-7999
Mailing address
PO BOX 918025, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
ME108997
FL
208200000X
Plastic Surgery Physician
9626
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006344500
FL
Enumeration date
06/14/2006
Last updated
10/15/2012
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