Yataco, Jose C
Yataco, Jose C is an individual health care provider with primary practice located at 2 Shircliff Way Bldg Ste 435 , Jacksonville FL 32204-4753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Yataco, Jose C can be contacted via phone (904) 308-6900.Contact Information
Primary practice address
2 Shircliff Way Bldg Ste 435
Jacksonville FL 32204-4753
Phone: (904) 308-6900
Fax: (904) 308-6927
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 40977 | Tennessee |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME91430 | Florida |
Profile Details
NPI number | 1346299104 |
---|---|
LBN Legal business name | Yataco, Jose C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 9th, 2006 |
Last updated | Dec 23rd, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346299104 | NPPES |
Florida | MEDICAID | 004504000 |
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