Provider Demographics
NPI:1659361939
Name:YOKITIS, JOHN WILLIAM (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WILLIAM
Last Name:YOKITIS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:4205 BELFORT RD STE 4015
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-3623
Mailing Address - Country:US
Mailing Address - Phone:904-450-6014
Mailing Address - Fax:904-450-6015
Practice Address - Street 1:2771 MONUMENT RD STE 33
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-3524
Practice Address - Country:US
Practice Address - Phone:904-450-8215
Practice Address - Fax:904-241-5267
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS013089207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H65085Medicare UPIN
PA126094Medicare PIN