Healthcare Provider Details

I. General information

NPI: 1407807779
Provider Name (Legal Business Name): LAURA A. YAUCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 09/14/2025
Certification Date: 09/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 N ARNOLD RD UNIT 102
PANAMA CITY BEACH FL
32413-2524
US

IV. Provider business mailing address

1002 N ARNOLD RD UNIT 102
PANAMA CITY BEACH FL
32413-2524
US

V. Phone/Fax

Practice location:
  • Phone: 850-234-3087
  • Fax:
Mailing address:
  • Phone: 850-234-3087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME95298
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: