Yeckes-Rodin, Heather

Yeckes-Rodin, Heather is an individual health care provider with primary practice located at 1871 S. E. Tiffany Ave Suite 100, Port St. Lucie FL 34952-7596. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Yeckes-Rodin, Heather can be contacted via phone (772) 355-5666.

Contact Information

Primary practice address
1871 S. E. Tiffany Ave Suite 100 Port St. Lucie FL 34952-7596
Fax: (772) 335-3781
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 219188 Massachusetts
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME97999 Florida

Profile Details

NPI number 1740214840
LBN Legal business name Yeckes-Rodin, Heather
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 9th, 2009 - about 15 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 1740214840 NPPES
Florida MEDICAID 279770400
Florida Other 05438

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