Provider Demographics
NPI:1326093238
Name:GERTSCH LAPCEVIC, YOLANDA MARIA (ARNP)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:MARIA
Last Name:GERTSCH LAPCEVIC
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:M
Other - Last Name:GERTSCH LAPCEVIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 918025
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-8025
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3003
Practice Address - Country:US
Practice Address - Phone:352-265-0024
Practice Address - Fax:352-392-8413
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1650452363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL306138800Medicaid
FX112ZMedicare PIN