Healthcare Provider Details

I. General information

NPI: 1093419863
Provider Name (Legal Business Name): YOMNA ELFERT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 OHIO AVE S
LIVE OAK FL
32064-4146
US

IV. Provider business mailing address

2872 ZULETTE AVE
BRONX NY
10461-5410
US

V. Phone/Fax

Practice location:
  • Phone: 386-399-1060
  • Fax: 386-399-1067
Mailing address:
  • Phone: 551-347-9943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME179685
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: