Individual
MR. MORRIS M YASOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2445 TAMPA ROAD, STE H, PALM HARBOR, FL 34683
(727) 786-0880
(727) 786-0882
Mailing address
2445 TAMPA ROAD, STE H, PALM HARBOR, FL 34683
(727) 786-0880
(727) 786-0882
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
POR57
FL
224P00000X
Prosthetist
POR57
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
952069400
—
FL
Enumeration date
07/26/2006
Last updated
02/18/2010
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