Provider Demographics
NPI:1255494704
Name:ZEGEYE, YONAS (MD)
Entity Type:Individual
Prefix:MR
First Name:YONAS
Middle Name:
Last Name:ZEGEYE
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 1:5 HARVARD CIR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-1979
Mailing Address - Country:US
Mailing Address - Phone:561-603-6652
Mailing Address - Fax:888-563-9455
Practice Address - Street 1:5 HARVARD CIR
Practice Address - Street 2:SUITE 104
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1979
Practice Address - Country:US
Practice Address - Phone:561-603-6652
Practice Address - Fax:888-563-9455
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88243207T00000X, 2086S0102X, 2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL270499400Medicaid
FL270499400Medicaid