Individual
MARC J YACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18137 BRANCH RD, HUDSON, FL 34667-5839
(727) 862-8203
Mailing address
18137 BRANCH RD, HUDSON, FL 34667-5839
(727) 862-8203
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME41785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042098100
—
FL
01
—
96169
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/13/2006
Last updated
09/22/2008
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