Provider Demographics
NPI:1861459166
Name:NENSEY, YAWER M (MD)
Entity Type:Individual
Prefix:DR
First Name:YAWER
Middle Name:M
Last Name:NENSEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:37908 DAUGHTERY ROAD
Mailing Address - Street 2:STE A
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33541
Mailing Address - Country:US
Mailing Address - Phone:813-780-8620
Mailing Address - Fax:813-780-8619
Practice Address - Street 1:37908 DAUGHTERY ROAD
Practice Address - Street 2:STE A
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541
Practice Address - Country:US
Practice Address - Phone:813-780-8620
Practice Address - Fax:813-780-8619
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0064410207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL373734900Medicaid
FL100005418OtherRAILROAD MEDICASRE
E89983Medicare UPIN
FL373734900Medicaid