Individual
GEARY YAMASHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4161 TAMIAMI TRL BLDG 6, SUITE 604, PORT CHARLOTTE, FL 33952-9204
(941) 255-8500
Mailing address
2502 N ROCKY POINT DR, SUITE 1000-CREDENTIALING, TAMPA, FL 33607-1421
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15257
FL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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