Basic Information
| Provider Information | |||||||||
| NPI: | 1225262819 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YANY | ||||||||
| FirstName: | MESHEL | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1613 HARRISON PKWY | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | SUNRISE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333232896 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9548382588 | ||||||||
| FaxNumber: | 9545143960 | ||||||||
| Practice Location | |||||||||
| Address1: | 875 STERTHAUS AVE | ||||||||
| Address2: | |||||||||
| City: | ORMOND BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 321745131 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3866766000 | ||||||||
| FaxNumber: | 9545143960 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2009 | ||||||||
| LastUpdateDate: | 04/26/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 386) 676-6000 | FL | Y | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 2013-01971 | NC | N | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.