Provider Demographics
NPI:1710972617
Name:YUZ, MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:YUZ
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 1:3201 N FEDERAL HWY STE 212
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1060
Mailing Address - Country:US
Mailing Address - Phone:888-886-5238
Mailing Address - Fax:888-886-9330
Practice Address - Street 1:3201 N FEDERAL HWY STE 212
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1060
Practice Address - Country:US
Practice Address - Phone:888-886-5238
Practice Address - Fax:888-886-9330
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1026292085R0202X
DEC1-00088742085R0202X
IN01058030A2085R0202X
PAMD4221042085R0202X
NY218516-12085R0202X
WAMD600732752085R0202X
WI53836-0202085R0202X
NJ25MA084095002085R0202X
TXN67852085R0202X
GA0630562085R0202X
CAC544312085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H99892Medicare UPIN