Organization
MDY PRIMARY CARE MEDICINE P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET R YEE MD (OWNER)
(863) 422-0032
Entity
Organization
Contact information
Practice address
102 PARK PLACE BLVD, DAVENPORT, FL 33837-6857
(863) 422-0032
(863) 422-3275
Mailing address
102 PARK PLACE BLVD, DAVENPORT, FL 33837-6857
(863) 422-0032
(863) 422-3275
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0072925
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG2237
MEDICARE RAILROAD CARRIER
FL
Enumeration date
04/24/2007
Last updated
01/03/2017
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