Provider Demographics
NPI:1013156728
Name:YURICH, JOSEPH FROILAN (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:FROILAN
Last Name:YURICH
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 1:15730 NEW HAMPSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-4121
Mailing Address - Country:US
Mailing Address - Phone:239-481-0033
Mailing Address - Fax:321-966-8322
Practice Address - Street 1:15730 NEW HAMPSHIRE CT
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-4121
Practice Address - Country:US
Practice Address - Phone:239-481-0033
Practice Address - Fax:321-966-8322
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME144113208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2928050Medicaid