Provider Demographics
NPI:1043233349
Name:PIERRE, YVES-LANDE (MD)
Entity Type:Individual
Prefix:
First Name:YVES-LANDE
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 SW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-2944
Mailing Address - Country:US
Mailing Address - Phone:352-369-1001
Mailing Address - Fax:352-369-0977
Practice Address - Street 1:3105 SW 13TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-2944
Practice Address - Country:US
Practice Address - Phone:352-369-1001
Practice Address - Fax:352-369-0977
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78868208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256992200Medicaid
FL81903OtherAETNA
FL47166OtherBLUE CROSS BLUE SHIELD
FL068267OtherVISTA HEALTH CARE
FL265589OtherAVMED