Organization
ESSIE YATES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN YATES (VP)
(954) 463-5208
Entity
Organization
Contact information
Practice address
407 SE 24TH ST, FORT LAUDERDALE, FL 33316-3915
(954) 463-5208
(954) 463-5288
Mailing address
407 SE 24TH ST, FORT LAUDERDALE, FL 33316-3915
(954) 463-5208
(954) 463-5288
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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