Individual
MATTHEW YASAVOLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(650) 906-1912
Mailing address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME137626
FL
Other
Enumeration date
06/20/2016
Last updated
03/29/2021
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