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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346299104 NPPES
Florida MEDICAID 004504000

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