MEDICARE: DR. MICHAEL D YARNOZ M.D.

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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	ME0032319	FL

General Provider Information

NPI Number	:	1679815393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL D YARNOZ M.D.

Provider Business Mailing Address
First Line	:	3203 BAYSHORE BLVD
Second Line	:	UNIT 1702
City	:	TAMPA
State	:	FL
Zip	:	33629-1720
Country	:	US
Telephone Number	:	813-831-9867
Fax Number	:

Provider Business Practice Location Address
First Line	:	3203 BAYSHORE BLVD
Second Line	:	UNIT 1702
City	:	TAMPA
State	:	FL
Zip	:	33629-1720
Country	:	US
Telephone Number	:	813-831-9867
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2013
Last Update Date	:	03/20/2013

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