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NPI Code Detail

MEDICARE: DR. PETER S YOTSEFF MD

MEDICARE: DR. PETER S YOTSEFF MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianME72171FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
132576OTHERFLBLUE CROSS/BLUE SHIELD
2ME72171OTHERFLSTATE LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417959073
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER S YOTSEFF MD
Provider Business Mailing Address
First Line : 2950 CLEVELAND CLINIC BLVD
Second Line :
City : WESTON
State : FL
Zip : 33331-3609
Country : US
Telephone Number : 954-419-3709
Fax Number :
Provider Business Practice Location Address
First Line : 2950 CLEVELAND CLINIC BLVD
Second Line :
City : WESTON
State : FL
Zip : 33331-3609
Country : US
Telephone Number : 954-419-3709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 12/22/2024

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Directions to “ DR. PETER S YOTSEFF MD” Practice Location

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