Individual
MITCHELL W. YADVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 3RD AVE W, SUITE 210, BRADENTON, FL 34205-8626
(941) 792-0340
(941) 794-2251
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0073485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012776300
—
FL
01
—
09135
UNIVERSAL HEALTHCARE
FL
01
—
1193524
WELLCARE
FL
01
—
353796
AVMED
FL
01
—
41687
BCBS FL
FL
01
—
5836692
AETNA
FL
01
—
P01040604
RAILROAD MCR
FL
01
—
P01805322
CLEAR HEALTH
FL
01
—
P102258
FREEDOM HEALTH
FL
01
—
P933155
OPTIMUM
FL
Enumeration date
07/05/2006
Last updated
04/12/2017
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