| Yira Van Der Linde Md Llc | |
|
1221 E De Soto St Pensacola FL 32501-3337 | |
| (850) 439-2100 | |
| (850) 439-2122 |
| Full Name | Yira Van Der Linde Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1221 E De Soto St, Pensacola, Florida |
| Authorized Official Name and Position | Yira Van Der Linde (OWNER) |
| Authorized Official Contact | 8504392100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yira Van Der Linde Md Llc Po Box 17506 Pensacola FL 32522-7506 Ph: (850) 439-2100 | Yira Van Der Linde Md Llc 1221 E De Soto St Pensacola FL 32501-3337 Ph: (850) 439-2100 |
| NPI Number | 1992127732 |
|---|---|
| Provider Enumeration Date | 01/14/2014 |
| Last Update Date | 01/14/2014 |
| Medicare PECOS PAC ID | 3779714969 |
|---|---|
| Medicare Enrollment ID | O20140402000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992127732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME94242 (Florida) | Primary |
| Provider Name | Yira Van Der Linde |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770578585 PECOS PAC ID: 2860450434 Enrollment ID: I20051025000346 |
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