| Theodore Yaremo Md Pa | |
|
1107 W Marion Ave Sutie 118 Punta Gorda FL 33950-5372 | |
| (941) 637-6062 | |
| (941) 575-4449 |
| Full Name | Theodore Yaremo Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1107 W Marion Ave, Punta Gorda, Florida |
| Authorized Official Name and Position | Theodore W Yaremo (OWNER) |
| Authorized Official Contact | 9416376062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Yaremo Md Pa 1107 W Marion Ave Sutie 118 Punta Gorda FL 33950-5372 Ph: (941) 637-6062 | Theodore Yaremo Md Pa 1107 W Marion Ave Sutie 118 Punta Gorda FL 33950-5372 Ph: (941) 637-6062 |
| NPI Number | 1528058682 |
|---|---|
| Provider Enumeration Date | 10/28/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0143293258 |
|---|---|
| Medicare Enrollment ID | O20040817000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528058682 | NPI | - | NPPES |
| 74616 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Florida) | Primary |
| Provider Name | Theodore Yaremo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780674838 PECOS PAC ID: 6305819418 Enrollment ID: I20040818000700 |
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