Provider Demographics
NPI:1407247646
Name:YILMAZ, BERK (AA)
Entity Type:Individual
Prefix:MR
First Name:BERK
Middle Name:
Last Name:YILMAZ
Suffix:
Gender:M
Credentials:AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3426 DEERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-1408
Mailing Address - Country:US
Mailing Address - Phone:727-543-5391
Mailing Address - Fax:
Practice Address - Street 1:3426 DEERFIELD LN
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-1408
Practice Address - Country:US
Practice Address - Phone:727-543-5391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAA 255367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant