Provider Demographics
NPI:1326434523
Name:CENTER FOR HERNIA REPAIR, LLC
Entity Type:Organization
Organization Name:CENTER FOR HERNIA REPAIR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:YUNIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-953-5917
Mailing Address - Street 1:2800 S TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-5103
Mailing Address - Country:US
Mailing Address - Phone:941-953-5917
Mailing Address - Fax:941-957-4280
Practice Address - Street 1:2800 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-5103
Practice Address - Country:US
Practice Address - Phone:941-953-5917
Practice Address - Fax:941-957-4280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-14
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0062511208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty