MEDICARE: YONG H TSAI 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	207RR0500X	Rheumatology Physician	ME0064530	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	23248	OTHER	FL	BLUE CROSS/BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659363505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YONG H TSAI M.D.

Provider Business Mailing Address
First Line	:	1893 N CLYDE MORRIS BLVD
Second Line	:	SUITE 110
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5535
Country	:	US
Telephone Number	:	386-676-0307
Fax Number	:	386-677-7842

Provider Business Practice Location Address
First Line	:	1893 N CLYDE MORRIS BLVD
Second Line	:	SUITE 110
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5535
Country	:	US
Telephone Number	:	386-676-0307
Fax Number	:	386-677-7842

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

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	06/09/2023

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Directions to “ YONG H TSAI M.D.” Practice Location

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