DAVID K YOON MD PA NPI 1417144270

NPI Information

  • NPI: 1417144270
  • Provider Name: DAVID K YOON MD PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Other Name: JENA MEDICAL
  • Address: 1180 W GRANADA BLVD
    SUITE B
    ORMOND BEACH, FL
    ZIP 32174
  • Phone: (386) 676-2606

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NPI Details

DAVID K YOON MD PA is a family medicine in Ormond Beach, FL. The provider is 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. DAVID K YOON MD PA NPI is 1417144270. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Jena Medical.

The provider's business location address is:

1180 W GRANADA BLVD
SUITE B
ORMOND BEACH, FL
ZIP 32174-165
Phone: (386) 676-2606
Fax: (386) 672-5341

The provider's authorized official is Dolores Vandermaelen .
The authorized official title is Administrator and has the following contact phone number (386) 677-2606.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 3/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D20749MEDICARE UPINFLORIDA
2K3404MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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