Healthcare Provider Details

I. General information

NPI: 1336278555
Provider Name (Legal Business Name): YGEIA HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 UTILITY DR STE D
PALM COAST FL
32137-4620
US

IV. Provider business mailing address

14 MAHOE DR S
PALM COAST FL
32137-2634
US

V. Phone/Fax

Practice location:
  • Phone: 386-246-7596
  • Fax:
Mailing address:
  • Phone: 386-569-5592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME83577
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberME83577
License Number StateFL

VIII. Authorized Official

Name: DR. JOHN SYMEONIDES
Title or Position: PHYSICIAN
Credential: MD
Phone: 386-569-5592