Individual
DR. JOSEPHINE BATISTA YATCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13453 N MAIN ST STE 503, JACKSONVILLE, FL 32218-2774
(904) 491-0177
(904) 491-3173
Mailing address
1463 NECTARINE ST, FERNANDINA BEACH, FL 32034-3027
(904) 491-0177
(904) 491-3173
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0089068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089068
MEDICAL LICENSE
FL
05
—
271710700
—
FL
Enumeration date
06/16/2005
Last updated
08/19/2015
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