David Gregory Yrastorza
Procedural Dermatology
3670 Innovation Dr
Lakeland
, Florida 33812-4105
David Gregory Yrastorza
Procedural Dermatology
3670 Innovation Dr
Lakeland
, Florida 33812-4105
(863) 686-2370
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- David Gregory Yrastorza
- 3670 Innovation Dr
- Lakeland, FL
- Zip : 33812-4105
- Fax : (863) 686-2370
- Phone : (863) 686-2282
Second Address
- David Gregory Yrastorza
- 3670 Innovation Dr
- Lakeland, FL
- Zip : 33812-4105
- Fax : (863) 686-2370
- Phone : (863) 686-2282
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | ME66580 | FL |
National Provider Identifier
| NPI | 1255323978 |
|---|---|
| Provider Name | David Gregory Yrastorza |
| First Address | Lakeland, FL 33812-4105 |
| Second Address | Lakeland, FL 33812-4105 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2005 |
| Last Update Date | 01/07/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F87810 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.