Individual
SABARETNAM YOGENDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 N BAY ST STE 4, EUSTIS, FL 32726
(352) 483-1960
(352) 483-0660
Mailing address
720 N BAY ST STE 4, EUSTIS, FL 32726-2964
(352) 483-1960
(352) 483-0660
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME55648
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME55648
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039648600
—
FL
Enumeration date
01/03/2006
Last updated
07/19/2019
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