Yandel, Michael L

Yandel, Michael L is an individual health care provider with primary practice located at 129 E Redstone Ave Suite A, Crestview FL 32539-5364. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Yandel, Michael L can be contacted via phone (850) 682-7212.

Contact Information

Primary practice address
129 E Redstone Ave Suite A Crestview FL 32539-5364
Phone: (850) 682-7212
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME80443 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 100465 Wisconsin
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME80443 Florida

Profile Details

NPI number 1578664140
LBN Legal business name Yandel, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Sep 6th, 2023 - about 3 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 1578664140 NPPES
Florida MEDICAID 259598200

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