Provider Demographics
NPI:1376311910
Name:YATES SURGERY CENTERS LLC
Entity Type:Organization
Organization Name:YATES SURGERY CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUEBERUWA YATES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-964-8229
Mailing Address - Street 1:407 SE 24TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-3915
Mailing Address - Country:US
Mailing Address - Phone:954-463-5208
Mailing Address - Fax:
Practice Address - Street 1:407 SE 24TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-3915
Practice Address - Country:US
Practice Address - Phone:954-463-5208
Practice Address - Fax:954-463-5288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical