Healthcare Provider Details

I. General information

NPI: 1225094071
Provider Name (Legal Business Name): JOHN S YEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 CLARK RD
SARASOTA FL
34233-2301
US

IV. Provider business mailing address

3900 CLARK RD
SARASOTA FL
34233-2301
US

V. Phone/Fax

Practice location:
  • Phone: 386-424-1584
  • Fax: 386-410-4800
Mailing address:
  • Phone: 386-424-1584
  • Fax: 888-900-7145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME97277
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME97277
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: