Individual
DR. GARY RICHARD YOUMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6006 49TH ST N, 330, ST PETERSBURG, FL 33709-2148
(727) 528-5859
Mailing address
6006 49TH ST N STE 330, IRL PATHOLOGY SERVICES GROUP WEST FLORIDA, ST PETERSBURG, FL 33709-2149
(727) 528-5859
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME64488
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23455Z
MEDICARE ID (UNSPECIFIED)
FL
Enumeration date
07/05/2006
Last updated
08/11/2016
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