Provider Demographics
NPI:1720225634
Name:ALBERTO YONFA MD PA
Entity Type:Organization
Organization Name:ALBERTO YONFA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:YONFA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-423-2557
Mailing Address - Street 1:117 W UNDERWOOD ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1137
Mailing Address - Country:US
Mailing Address - Phone:407-423-2557
Mailing Address - Fax:407-423-2563
Practice Address - Street 1:117 W UNDERWOOD ST
Practice Address - Street 2:B
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1137
Practice Address - Country:US
Practice Address - Phone:407-423-2557
Practice Address - Fax:407-423-2563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME25311207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL28062Medicare PIN