Organization
THEODORE YAREMO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE W YAREMO M.D., P.A. (OWNER)
(941) 637-6062
Entity
Organization
Contact information
Practice address
1107 W MARION AVE, SUTIE 118, PUNTA GORDA, FL 33950-5372
(941) 637-6062
(941) 575-4449
Mailing address
1107 W MARION AVE, SUTIE 118, PUNTA GORDA, FL 33950-5372
(941) 637-6062
(941) 575-4449
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74616
BCBS
FL
Enumeration date
10/28/2005
Last updated
07/21/2022
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