Provider Demographics
NPI:1407804792
Name:YANCEY, ROBERT W JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:YANCEY
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:7257 NW 4TH BLVD
Mailing Address - Street 2:#43
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1600
Mailing Address - Country:US
Mailing Address - Phone:352-375-0819
Mailing Address - Fax:949-863-6806
Practice Address - Street 1:6500 W NEWBERRY RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4309
Practice Address - Country:US
Practice Address - Phone:352-375-0819
Practice Address - Fax:949-863-6806
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2024-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI4096207RI0200X
FLME45380207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL044881800Medicaid
FL110035758OtherRAILROAD MEDICARE
FL1407804792OtherNPI
FLSQ359OtherMEDICARE HF