Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | ME98722 | FL |
NPI | 1013111491 |
---|---|
Provider Name | Yekutiel Sandman |
First Address | Miami, FL 33173-3601 |
Second Address | Miami, FL 33173-3601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 12/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03671 | BCBS (01) | FL |
11683 | DIMENSION HEALTH (01) | FL |
11772371 | COVENTRY FIRST HEALTH (01) | FL |
278579000 | (05) | FL |
400006973000 | PREFERRED CARE PARTNERS (01) | FL |
59173 | NHP (01) | FL |
7600965 | AETNA (01) | FL |