Provider Demographics
NPI:1144475146
Name:YONNET, GAEL JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:GAEL
Middle Name:JEAN
Last Name:YONNET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8391 N DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-6048
Mailing Address - Country:US
Mailing Address - Phone:850-494-4000
Mailing Address - Fax:866-947-4181
Practice Address - Street 1:8391 N DAVIS HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514
Practice Address - Country:US
Practice Address - Phone:850-494-4000
Practice Address - Fax:866-947-4181
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3565091205208100000X
FLME00000PENDING208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation