MEDICARE: PHILIP M YAM 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	2084P0800X	Psychiatry Physician	300438	LA
2	2084P0800X	Psychiatry Physician	109941	GA
3	2084P0800X	Psychiatry Physician	ME162822	FL

General Provider Information

NPI Number	:	1851686554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP M YAM M.D.

Provider Business Mailing Address
First Line	:	203 FORT WADE RD UNIT 250
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32081-5214
Country	:	US
Telephone Number	:	904-902-4408
Fax Number	:

Provider Business Practice Location Address
First Line	:	203 FORT WADE RD UNIT 250
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32081-5214
Country	:	US
Telephone Number	:	904-902-4408
Fax Number	:

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

Provider Enumeration Date	:	06/10/2011
Last Update Date	:	04/08/2026

Similar Medicare Providers

1730247768 — DR. STACEY MACY PARSONS D.P.T., O.C.S.
Practice Location Address:

1612 S CATALINA AVE
REDONDO BEACH, CA
90277-5214

Practice Phone: 424-290-0096
Practice Fax:

1174652481 — KYLE FRED BALDWIN PT
Practice Location Address:

5214 E LOS ALTOS PLZ
LONG BEACH, CA
90815-4251

Practice Phone: 562-597-3035
Practice Fax: 562-597-3055

1043412679 — BALDWIN PHYSICAL THERAPY INC.
Practice Location Address:

5214 E LOS ALTOS PLZ
LONG BEACH, CA
90815-4251

Practice Phone: 562-597-3035
Practice Fax: 562-597-3055

1467640441 — DR. JORDAN H KAPLAN D.C.
Practice Location Address:

959 WEST AVE STE 17 , 17
MIAMI BEACH, FL
33139-5214

Practice Phone: 305-507-5220
Practice Fax:

1215238928 — PURE PHARMACY LLC
Practice Location Address:

959 WEST AVE STE 16
MIAMI BEACH, FL
33139-5214

Practice Phone: 305-532-1300
Practice Fax: 305-532-1500

1417223652 — LAURA HOGUE MPT
Practice Location Address:

5214 E LOS ALTOS PLZ
LONG BEACH, CA
90815-4251

Practice Phone: 562-597-3035
Practice Fax:

Directions to “ PHILIP M YAM M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.