Healthcare Provider Details

I. General information

NPI: 1407804792
Provider Name (Legal Business Name): ROBERT W YANCEY JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 W NEWBERRY RD
GAINESVILLE FL
32605-4309
US

IV. Provider business mailing address

7257 NW 4TH BLVD # 43
GAINESVILLE FL
32607-1600
US

V. Phone/Fax

Practice location:
  • Phone: 352-375-0819
  • Fax: 949-863-6806
Mailing address:
  • Phone: 352-375-0819
  • Fax: 949-863-6806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number4096
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number35C.001654
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME45380
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: