Individual
PHILIP M YAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
203 FORT WADE RD UNIT 250, PONTE VEDRA BEACH, FL 32081-5214
(904) 902-4408
Mailing address
203 FORT WADE RD UNIT 250, PONTE VEDRA BEACH, FL 32081-5214
(904) 902-4408
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
109941
GA
2084P0800X
Psychiatry Physician
300438
LA
2084P0800X
Psychiatry Physician
Primary
ME162822
FL
Other
Enumeration date
06/10/2011
Last updated
04/08/2026
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