MEDICARE: DR. JOSEPH MICHAEL YURSO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	0050958	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124018205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH MICHAEL YURSO M.D.

Provider Business Mailing Address
First Line	:	661 E ALTAMONTE DR
Second Line	:	SUITE 323
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-5105
Country	:	US
Telephone Number	:	407-834-6965
Fax Number	:	407-834-0424

Provider Business Practice Location Address
First Line	:	661 E ALTAMONTE DR
Second Line	:	SUITE 323
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-5105
Country	:	US
Telephone Number	:	407-834-6965
Fax Number	:	407-834-0424

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	12/11/2009

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Directions to “ DR. JOSEPH MICHAEL YURSO M.D.” Practice Location

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