| Juan C Yordan Md Pa | |
|
929 N Us Highway 441 Ste 102 Lady Lake FL 32159-3002 | |
| (352) 633-0473 | |
| (352) 775-9562 |
| Full Name | Juan C Yordan Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 929 N Us Highway 441 Ste 102, Lady Lake, Florida |
| Authorized Official Name and Position | Juan Carlos Yordan (MD) |
| Authorized Official Contact | 3526330473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan C Yordan Md Pa Po Box 3667 Belleview FL 34421-3667 Ph: (352) 633-0473 | Juan C Yordan Md Pa 929 N Us Highway 441 Ste 102 Lady Lake FL 32159-3002 Ph: (352) 633-0473 |
| NPI Number | 1184094690 |
|---|---|
| Provider Enumeration Date | 09/28/2015 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 8527363431 |
|---|---|
| Medicare Enrollment ID | O20160412001404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184094690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME98478 (Florida) | Primary |
| Provider Name | Juan C Yordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366410268 PECOS PAC ID: 8224097167 Enrollment ID: I20071015000218 |
| Provider Name | Veneiza Schwanke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366634883 PECOS PAC ID: 5193050292 Enrollment ID: I20190711002027 |
| Provider Name | Rosilvia Muniz Quiros |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942280698 PECOS PAC ID: 6507868825 Enrollment ID: I20210716000813 |
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