Basic Information
Provider Information
NPI: 1760956288
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YAWORSKI
FirstName: HELEN
MiddleName: EDITH
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ALMAS
OtherFirstName: HELEN
OtherMiddleName: EDITH
OtherNamePrefix: MISS
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 2687 WATERS EDGE CT
Address2:  
City: DUNEDIN
State: FL
PostalCode: 346989205
CountryCode: US
TelephoneNumber: 2042507177
FaxNumber:  
Practice Location
Address1: BAYONET POINT EMERGENCY DEPARTMENT
Address2: 14000 FIVAY RD
City: HUDSON
State: FL
PostalCode: 34667
CountryCode: US
TelephoneNumber: 7278192929
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/17/2019
LastUpdateDate: 01/17/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XME133904FLY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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