Provider Demographics
NPI:1659363505
Name:TSAI, YONG H (MD)
Entity Type:Individual
Prefix:
First Name:YONG
Middle Name:H
Last Name:TSAI
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 1:1893 N CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-5535
Mailing Address - Country:US
Mailing Address - Phone:386-676-0307
Mailing Address - Fax:386-677-7842
Practice Address - Street 1:1893 N CLYDE MORRIS BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-5535
Practice Address - Country:US
Practice Address - Phone:386-676-0307
Practice Address - Fax:386-677-7842
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-17
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0064530207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL23248OtherBLUE CROSS/BLUE SHIELD
FL374134600Medicaid
FL23248OtherBLUE CROSS/BLUE SHIELD
FL374134600Medicaid