Organization
BASIL M YATES MD PA
Active
Organization
BASIL M YATES MD PA
Active
Other names
BASIL M YATES MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN YATES (NURSE ADMINISTRATOR)
(305) 836-1940
Entity
Organization
Contact information
Practice address
590 E 25TH ST, STE 601, HIALEAH, FL 33013-3841
(305) 836-1940
(305) 693-0098
Mailing address
590 E 25TH ST, STE 601, HIALEAH, FL 33013-3841
(305) 836-1940
(305) 693-0098
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME0007781
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015862
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/08/2006
Last updated
09/10/2010
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