Provider Demographics
NPI:1538469168
Name:LAYNE R YONEHIRO MD PA
Entity Type:Organization
Organization Name:LAYNE R YONEHIRO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAYNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:YONEHIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-429-0102
Mailing Address - Street 1:PO BOX 30090
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-1090
Mailing Address - Country:US
Mailing Address - Phone:850-429-0102
Mailing Address - Fax:850-429-0830
Practice Address - Street 1:1717 N E ST
Practice Address - Street 2:SUITE 533
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-6339
Practice Address - Country:US
Practice Address - Phone:850-429-0102
Practice Address - Fax:850-429-0830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty