Provider Demographics
NPI:1700915204
Name:YGEIA HEALTH CENTER
Entity Type:Organization
Organization Name:YGEIA HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SYMEONIDES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:386-569-5592
Mailing Address - Street 1:PO BOX 354034
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32135-4034
Mailing Address - Country:US
Mailing Address - Phone:386-569-5592
Mailing Address - Fax:
Practice Address - Street 1:21 UTILITY DR STE D
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-4620
Practice Address - Country:US
Practice Address - Phone:386-246-7596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83577207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty