MEDICARE: ROBERT LEO YUSKAITIS MD

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	207P00000X	Emergency Medicine Physician	ME45601	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
2	11151	OTHER	FL	BLUE CROSS OF FLORIDA

General Provider Information

NPI Number	:	1356428593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT LEO YUSKAITIS MD

Provider Business Mailing Address
First Line	:	PO BOX 160448
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33116-0448
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3032 PLAZA BLANCA
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507
Country	:	US
Telephone Number	:	239-249-9342
Fax Number	:

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	10/09/2020

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