Individual
GEORGE DANIEL YATZKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(305) 223-3000
Mailing address
PO BOX 266211, WESTON, FL 33326-6211
(561) 967-4118
(561) 967-3463
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME77088
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME77088
FL
207RP1001X
Pulmonary Disease Physician
ME77088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
255428300
PSN
FL
05
—
255428300
—
FL
01
—
44965
BLUE CROSS BLUE SHIELD
FL
01
—
N230893
WELLCARE
FL
01
—
P00306540
RAILROAD MEDICARE
FL
Enumeration date
05/30/2006
Last updated
10/09/2013
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