Healthcare Provider Details

I. General information

NPI: 1083073571
Provider Name (Legal Business Name): YORDANYS YERA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2016
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 S SEMORAN BLVD
ORLANDO FL
32807-2915
US

IV. Provider business mailing address

1303 S SEMORAN BLVD
ORLANDO FL
32807-2915
US

V. Phone/Fax

Practice location:
  • Phone: 407-966-1799
  • Fax: 813-499-1499
Mailing address:
  • Phone: 407-966-1799
  • Fax: 813-499-1499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN1430
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: