DR. YVES MICHEL ANTOINE JODESTY, MD - NPI NUMBER 1093877631

Summary

Provider Name: DR. YVES MICHEL ANTOINE JODESTY, MD

NPI Number: 1093877631

Clasification: Internal Medicine (207R00000X)

Organization: MANOR MEDICAL CENTER INC.

Address:
1040 NW 10TH AVE
FORT LAUDERDALE, FL
ZIP 33311

Phone Number: (954) 728-9200



Detailed Information

DR. Yves Michel Antoine Jodesty, MD is an internist in Fort Lauderdale, FL with 38 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. The assigned NPI number for this provider is 1093877631 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

1040 NW 10TH AVE
FORT LAUDERDALE, FL
ZIP 33311-101
Phone: (954) 728-9200

The enumeration date for this NPI number is 12/13/2006 and was last updated on 7/8/2007.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1013035922 DR. GARY MELLER, MD
Internal Medicine
1043209125 DR. MOHAMMED I BAIG, MD
Internal Medicine
1043513468 AGELESS MEDICINE ASSOCIATES INC
Internal Medicine
1003992017 DR. VIDEONA B BAUTISTA, M.D.
Internal Medicine
1013980093 MR. MURRAY JACK MILLER, MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1033358262 SANDEEP JAIN MD PA
Internal Medicine (Pulmonary Disease)
1013346543 PETER A. NAMNUM, MD, PA
Internal Medicine (Pulmonary Disease)





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207R00000X Internal Medicine ME0049891 FL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 09349 MEDICARE ID-TYPE UNSPECIFIED
2 B87352 MEDICARE UPIN

NPI Record

No. Field Name Field Value
1 NPI 1093877631
2 Entity Type Code 1
3 Provider Last Name Legal Name JODESTY
4 Provider First Name YVES
5 Provider Middle Name MICHEL ANTOINE
6 Provider Name Prefix Text DR.
7 Provider Credential Text MD
8 Provider First Line Business Practice Location Address 1040 NW 10TH AVE
9 Provider Business Practice Location Address City Name FORT LAUDERDALE
10 Provider Business Practice Location Address State Name FL
11 Provider Business Practice Location Address Postal Code 333116101
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 9547289200
14 Provider Enumeration Date 12/13/2006
15 Last Update Date 7/8/2007
16 Provider Gender Code M
17 Healthcare Provider Taxonomy Code 1 207R00000X
18 Provider License Number 1 ME0049891
19 Provider License Number State Code 1 FL
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 09349
22 Other Provider Identifier Type Code 1 04
23 Other Provider Identifier 2 B87352
24 Other Provider Identifier Type Code 2 02
25 Is Sole Proprietor Y

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.