David Gregory Yrastorza in Lakeland - Procedural Dermatology
David Gregory Yrastorza - NPI 1255323978
David Gregory Yrastorza is a Procedural Dermatology in Lakeland, Florida. David Gregory Yrastorza practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for David Gregory Yrastorza is 1255323978. The last update date is 2009-07-01.
David Gregory Yrastorza's current location address is 3670 Innovation Dr, Lakeland, Florida. You can contact this provider via phone number 8636862282 and fax number 8636862370. The mailing address for David Gregory Yrastorza is 3670 Innovation Dr, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Gregory Yrastorza |
|---|---|
| Address | 3670 Innovation Dr, Lakeland, Florida |
| Phone Number | 8636862282 |
| Fax Number | 8636862370 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255323978 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2009-07-01 |
Provider Mailing Address Detail
| Address | 3670 Innovation Dr |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338124105 |
| Phone Number | 8636862282 |
| Fax Number | 8636862370 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | ME66580 |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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What is the unique provider identifier assigned to David Gregory Yrastorza?
The David Gregory Yrastorza has been issued the NPI (National Provider Identifier) 1255323978 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of David Gregory Yrastorza?
The David Gregory Yrastorza is physically situated at 3670 Innovation Dr, in the city of Lakeland, state of FL, with the postal code 338124105.
What is David Gregory Yrastorza's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Gregory Yrastorza's specialized field of practice is Procedural Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207Ns0135X.
On what date did the David Gregory Yrastorza receive its 1255323978 assignment from the Centers for Medicare & Medicaid Services?
The David Gregory Yrastorza was assigned its 1255323978 by the Centers for Medicare & Medicaid Services on 2005-08-18.
As of what date was the information regarding David Gregory Yrastorza, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Gregory Yrastorza, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-07-01.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH