1780796359

Everything you always wanted to know about MRS. YARRIS-EWERT MARIAN LINDA PH.D, M.D., P.A. but were afraid to ask.

MRS. YARRIS-EWERT MARIAN LINDA PH.D, M.D., P.A.

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
MRS. YARRIS-EWERT MARIAN LINDA PH.D, M.D., P.A.
Gender:
Female
Enumeration date:
2006-08-31
Last update date:
2008-12-12
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
194736 Other STAYWELL HEALTHY KIDS FL
23801 Other BLUE CROSS BLUE SHIELD FL
23801A Medicare PIN none FL
23801 Medicare ID-Type Undpecified none FL
374409400 Medicaid none FL
2666792 Other AETNA HEALTHCARE FL
F74038 Medicare UPIN none FL
AS19990440001 Other CIGNA INSURANCE FL
65-1147398 Other TAX ID NUMBER FL

Taxonomies

Taxonomy State License Number Primary?
207Q00000X Family Medicine FL ME0064852 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2392742071
Practice Location Address Telephone Number 2392742071
Mailing Address Fax Number 2392742075
Practice Location Address Fax Number 2392742075

Addresses

Type Address City State Postal Country
Mailing Address 12545 NEW BRITTANY BLVD SUITE 26 FORT MYERS FL 33907 FL
Practice Location Address 12545 NEW BRITTANY BLVD SUITE 26 FORT MYERS FL 33907 FL

Other NPI Records that share a phone number

NPI Name Address State City
1053557124 LINDA YARRIS-EWERT PHD MD PA
Organization
12545 NEW BRITTANY BLVD FL FORT MYERS

Other NPI Records that share an address

NPI Name Address State City
1053557124 LINDA YARRIS-EWERT PHD MD PA
Organization
12545 NEW BRITTANY BLVD FL FORT MYERS

Other NPI Records that share an identifier

NPI Name Address State City Identifier types that matches
1053557124 LINDA YARRIS-EWERT PHD MD PA
Organization
12545 NEW BRITTANY BLVD FL FORT MYERS Identifier: 194736 (Other)
Identifier: 23801A (Medicare PIN)
Identifier: 2666792 (Other)
Identifier: F74038 (Medicare UPIN)
Identifier: AS19990440001 (Other)