Individual
THEODORE W YAREMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
150 W MCKENZIE ST STE 117, PUNTA GORDA, FL 33950-5500
(941) 637-6062
(941) 575-4449
Mailing address
PO BOX 510550, PUNTA GORDA, FL 33951-0550
(941) 637-6380
(941) 347-8244
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME49299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05918
BCBS INDIVIDUAL #
FL
01
—
74616
BCBS GROUP #
FL
Enumeration date
10/28/2005
Last updated
04/26/2013
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