Provider Demographics
NPI:1922294339
Name:YAKOVLEVA, NATALIYA (MD)
Entity Type:Individual
Prefix:
First Name:NATALIYA
Middle Name:
Last Name:YAKOVLEVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2528 14TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-4334
Mailing Address - Country:US
Mailing Address - Phone:352-214-9114
Mailing Address - Fax:
Practice Address - Street 1:18167 US HWY 19 NORTH, SUITE 650
Practice Address - Street 2:EMCARE ANESTHESIA SERVICES- SOUTH DIVISION
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764
Practice Address - Country:US
Practice Address - Phone:727-507-2531
Practice Address - Fax:727-507-3618
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME115113207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology