Yacoub, Michael

Yacoub, Michael is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Yacoub, Michael can be contacted via phone (325) 273-5484.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610
Phone: (325) 273-5484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301093311 Michigan
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 26404 West Virginia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 63402 Minnesota
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME136710 Florida

Profile Details

NPI number 1972847671
LBN Legal business name Yacoub, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2012
Last updated Dec 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972847671 NPPES
Florida MEDICAID 100748600

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