Healthcare Provider Details
I. General information
NPI: 1760956288
Provider Name (Legal Business Name): HELEN EDITH YAWORSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/17/2019
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
BAYONET POINT EMERGENCY DEPARTMENT 14000 FIVAY RD
HUDSON FL
34667
US
IV. Provider business mailing address
2687 WATERS EDGE CT
DUNEDIN FL
34698-9205
US
V. Phone/Fax
- Phone: 727-819-2929
- Fax:
- Phone: 204-250-7177
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | ME133904 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: