Individual
DR. FREDRICK M. YUTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 SE 17TH ST, STE 200, OCALA, FL 34471-3968
(352) 873-2880
(352) 873-8751
Mailing address
1015 SE 17TH ST, STE 200, OCALA, FL 34471-3968
(352) 873-2880
(352) 873-8751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME19340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050774100
—
FL
01
—
110137565
RAILROAD MEDICARE
FL
01
—
42092
BCBS
FL
Enumeration date
06/22/2006
Last updated
10/20/2011
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