Individual
ETHAN YODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1540 CITRUS MEDICAL CT, OCOEE, FL 34761-4547
(407) 602-7168
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(855) 501-1004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109969
FL
Other
Enumeration date
10/26/2016
Last updated
05/01/2026
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