Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 257973 | MA |
N | 208600000X | Surgeon | 257973 | MA |
Y | 208200000X | Surgeon | OS13802 | FL |
Y | 208600000X | Surgeon | OS13802 | FL |
N | 208200000X | Surgeon | OT013129 | PA |
N | 208600000X | Surgeon | OT013129 | PA |
N | 2086S0102X | Surgical Critical Care | OS13802 | FL |
NPI | 1255379079 |
---|---|
Provider Name | Dr. Brian K Yorkgitis |
First Address | Gainesville, FL 32610-0108 |
Second Address | Daytona Beach, FL 32114-2757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 10/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
017421600 | (05) | FL |