SHIRLEY YACOUB (NPI# 1922341403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922341403 |
| Entity Type | Individual |
| Full Name | SHIRLEY YACOUB |
| Credential | M.D. |
| Practice Address |
2090 Saxon Blvd Ste B Deltona FL 32725-3251 |
| Mailing Address |
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709 |
| Practice Telephone | 3864253300 |
| Practice Fax Number | 3864253301 |
| Mailing Telephone | 3862264590 |
| Mailing Fax Number | 3862264577 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME142341 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3110 Maccorkle Ave Se, Charleston, WV 253041210 | 3043885590 |
| Street Address |
2090 SAXON BLVD STE B |
| City | DELTONA |
| State | FL |
| Zip Code | 32725-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376707786 | Ana L Castoro | Family Medicine | 2090 Saxon Blvd Ste B, Deltona, FL 32725-3251 | 2008-07-15 |
| 1790266013 | Amber Jo Bryant | Nurse Practitioner | 2090 Saxon Blvd Ste B, Deltona, FL 32725 | 2018-08-24 |
| 1790206779 | Nally Calzado-ricketts | Family Medicine | 2090 Saxon Blvd Ste B, Deltona, FL 32725-3251 | 2017-06-29 |
| 1043764863 | Marizsa Perez | Nurse Practitioner | 2090 Saxon Blvd Ste B, Deltona, FL 32725-3251 | 2016-08-10 |
| 1922341148 | Sokunthirith Thach | Family Medicine | 2090 Saxon Blvd Ste B, Deltona, FL 32725-3251 | 2013-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1235674359 | Danielle Nichole Nussel | Behavioral Analyst | 1729 Templewood Ave, Deltona, FL 32725 | 2016-12-28 |
| 1023550498 | Deltona Alf Management | Assisted Living Facility | 2306 N Normandy Blvd, Deltona, FL 32725 | 2016-11-16 |
| 1245781806 | Advanced Medical Care, LLC | Family Medicine | 734 Elkham Blvd, Deltona, FL 32725 | 2016-10-19 |
| 1932500170 | Onshk LLC | Pharmacy | 2091 Saxon Blvd, Suite 100, Deltona, FL 32725 | 2014-09-08 |
| 1104239706 | Natalie Beecham-coppin | Social Worker | 323 Diamond Street, Deltona, FL 32725 | 2014-06-11 |
| 1871893826 | John E Peats | Speech-Language Pathologist | 2979 Wild Pepper Avenue, Deltona, FL 32725 | 2010-10-25 |
| 1558682328 | Lisa Krupa | Counselor | 667 Deltona Blvd., Deltona, FL 32725 | 2010-06-16 |
| 1730407917 | Robert E Kent | Physical Medicine & Rehabilitation | 813 Deltona Blvd, Deltona, FL 32725 | 2010-05-12 |
| 1922331982 | Orlando Vamc | Clinic/Center | 1200 Deltona Blvd Ste 41-47, Deltona, FL 32725 | 2009-09-09 |
| Find all providers in zip 32725 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407410970 | Stacie Quedenfeld | Family Medicine | 2013 W Barlington Dr, Deltona, FL 32725-3366 | 2019-04-30 |
| 1427535558 | Cynthia Newbold | Family Medicine | 2722 Newmark Dr, Deltona, FL 32738-4109 | 2018-07-21 |
| 1093249906 | Pooja Shankar | Family Medicine | 1565 Saxon Blvd Ste 102, Deltona, FL 32725-5823 | 2017-04-18 |
| 1245781806 | Advanced Medical Care, LLC | Family Medicine | 734 Elkham Blvd, Deltona, FL 32725 | 2016-10-19 |
| 1124482849 | Walter Zavala | Family Medicine | 601 Deltona Blvd Ste 101, Deltona, FL 32725-7704 | 2016-04-08 |
| 1316306871 | Multicare Physicians Psc | Family Medicine | 634 Deltona Blvd, Deltona, FL 32725-8078 | 2016-02-12 |
| 1750546313 | Northeast Florida Health Services, Inc. | Family Medicine | 2160 Howland Blvd Ste 110, Deltona, FL 32738 | 2008-07-23 |
| 1376707786 | Ana L Castoro | Family Medicine | 2090 Saxon Blvd Ste B, Deltona, FL 32725-3251 | 2008-07-15 |
| 1629102157 | Family Medicine & Holistic Center, Inc | Family Medicine | 887 Deltona Blvd, Deltona, FL 32725-7137 | 2007-03-15 |
| 1255412466 | Pamela Elizabeth Hall | Family Medicine | 820 Deltona Blvd, Suite A, Deltona, FL 32725-7177 | 2006-10-17 |
| Find all providers in DELTONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.