Wirta-Clarke, Yvette

Wirta-Clarke, Yvette is an sole proprietor health care provider with primary practice located at 1800 Se Tiffany Ave , Port St Lucie FL 34952-7521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Wirta-Clarke, Yvette can be contacted via phone (772) 398-3800.

Contact Information

Primary practice address
1800 Se Tiffany Ave Port St Lucie FL 34952-7521
Phone: (772) 398-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS8390 Florida

Profile Details

NPI number 1962456426
LBN Legal business name Wirta-Clarke, Yvette
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1962456426 NPPES
Florida Other 05149 BCBS

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