Individual
ANDREW M YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 E HIGHWAY 20, FAMILY PRACTICE DEPARTMENT, NICEVILLE, FL 32578-8826
(850) 897-4400
(850) 897-0623
Mailing address
2001 E. HIGHWAY 20, FAMILY MEDICINE DEPARTMENT, NICEVILLE, FL 32578-6707
(850) 897-4400
(850) 897-0623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME83436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267191300
—
FL
01
—
29233
BCBSFL
FL
Enumeration date
12/12/2005
Last updated
01/20/2017
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