Provider Demographics
NPI:1679815393
Name:YARNOZ, MICHAEL D (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:YARNOZ
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 1:3203 BAYSHORE BLVD
Mailing Address - Street 2:UNIT 1702
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-1720
Mailing Address - Country:US
Mailing Address - Phone:813-831-9867
Mailing Address - Fax:
Practice Address - Street 1:3203 BAYSHORE BLVD
Practice Address - Street 2:UNIT 1702
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-1720
Practice Address - Country:US
Practice Address - Phone:813-831-9867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0032319208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)