Individual
YVETTE WIRTA-CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 398-3800
Mailing address
100 SW ATLANTA AVE, STUART, FL 34994-2009
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS8390
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05149
BCBS
FL
Enumeration date
05/20/2006
Last updated
07/08/2007
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