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NPI Code Detail

MEDICARE: DR. DONALD HARRISON YOUMANS M.D.

MEDICARE: DR. DONALD HARRISON YOUMANS 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
1207QS0010XSports Medicine (Family Medicine) PhysicianD73456MD
2207QS0010XSports Medicine (Family Medicine) PhysicianME120806FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME120806OTHERFLMEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700083045
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD HARRISON YOUMANS M.D.
Provider Business Mailing Address
First Line : 833 CHESTNUT ST STE 520
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-4430
Country : US
Telephone Number : 609-677-7003
Fax Number : 267-339-3761
Provider Business Practice Location Address
First Line : 410 LIONEL WAY STE 201
Second Line :
City : DAVENPORT
State : FL
Zip : 33837-7809
Country : US
Telephone Number : 844-407-4070
Fax Number : 407-743-3050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 05/16/2022

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