Individual
BRIAN D YATES
Active
Individual
BRIAN D YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA9105927
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9105927
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003307700
—
FL
01
—
9287689
AETNA
FL
01
—
P01054195
RAILROAD MEDICARE
FL
01
—
Y06SL
BCBS
FL
Enumeration date
02/25/2011
Last updated
01/23/2015
Update your record
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