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Individual

DR. SAMUEL D YU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 PHILLIPS RD, TALLAHASSEE, FL 32308-5304
(850) 878-4127
Mailing address
PO BOX 1678, TALLAHASSEE, FL 32302-1678
(844) 821-8137

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME97819
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06307
BCBS OF FLORIDA
FL
05
279609100
FL
05
323892302C
GA
01
P00453953
RR MEDICARE
FL
Enumeration date
08/09/2006
Last updated
10/01/2015
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