Individual
DR. YAN G MAKEYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2141 LOCH RANE BLVD STE 116, ORANGE PARK, FL 32073
(904) 427-1270
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7212
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
244912
NY
207RH0003X
Hematology & Oncology Physician
Primary
ME117262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009397000
—
FL
01
—
1108013
CARE PLUS HEALTH PLANS
FL
01
—
1193393
WELLCARE
FL
01
—
14RW6
BCBS
FL
01
—
368661
AVMED
FL
01
—
8268321
CIGNA
FL
01
—
922243
WELLCARE
FL
01
—
9607624
AETNA
FL
01
—
P0026508
FLORIDA HEALTHCARE PLUS
FL
01
—
P01327652
RR MEDICARE
FL
01
—
P01593274
RR MEDICARE
FL
Enumeration date
02/13/2008
Last updated
06/28/2018
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