Provider Demographics
NPI:1528023314
Name:YOLDAS, EROL A (MD)
Entity Type:Individual
Prefix:
First Name:EROL
Middle Name:A
Last Name:YOLDAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 S ANDREWS AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-2509
Mailing Address - Country:US
Mailing Address - Phone:954-522-9590
Mailing Address - Fax:
Practice Address - Street 1:1601 S ANDREWS AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-2509
Practice Address - Country:US
Practice Address - Phone:954-522-9590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80620207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL259837000Medicaid
H06844Medicare UPIN
FL259837000Medicaid