Yates, Clarence Burl

Yates, Clarence Burl is an individual health care provider with primary practice located at 3725 11Th Cr , Vero Beach FL 32960-4804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Yates, Clarence Burl can be contacted via phone (772) 410-0155.

Contact Information

Primary practice address
3725 11Th Cr Vero Beach FL 32960-4804
Phone: (772) 410-0155
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME76655 Florida

Profile Details

NPI number 1962444620
LBN Legal business name Yates, Clarence Burl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Sep 6th, 2012 - about 12 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 1962444620 NPPES
Florida MEDICAID 273820100

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