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NPI Code Detail

MEDICARE: PAUL G YUNGST D.P.M.

MEDICARE:   PAUL G YUNGST  D.P.M.
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
1213E00000XPodiatristPO1347FL

General Provider Information

NPI Number : 1518963891
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL G YUNGST D.P.M.
Provider Business Mailing Address
First Line : 1921 WALDEMERE ST
Second Line : STE 106
City : SARASOTA
State : FL
Zip : 34239-2941
Country : US
Telephone Number : 941-917-6232
Fax Number : 941-917-6234
Provider Business Practice Location Address
First Line : 1921 WALDEMERE ST
Second Line : STE 106
City : SARASOTA
State : FL
Zip : 34239-2941
Country : US
Telephone Number : 941-917-6232
Fax Number : 941-917-6234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 07/08/2007

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Directions to “ PAUL G YUNGST D.P.M.” Practice Location

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