Individual
FRANCIS YURI MACCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
803 E DIXIE AVE, LEESBURG, FL 34748-6013
(352) 530-2256
Mailing address
1824 KING ST STE 200, JACKSONVILLE, FL 32204-4736
(904) 384-3343
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
53347
KY
207RC0000X
Cardiovascular Disease Physician
ME103676
FL
207RI0011X
Interventional Cardiology Physician
25MA11390200
NJ
207RI0011X
Interventional Cardiology Physician
Primary
ME103676
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002099900
—
FL
05
—
7100642340
—
KY
01
—
Z43Z8
BC/BS
FL
Enumeration date
05/23/2007
Last updated
06/01/2023
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