Provider Demographics
NPI:1215952924
Name:YOHAM, RICHARD M (DCBSPA)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:M
Last Name:YOHAM
Suffix:
Gender:M
Credentials:DCBSPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 SW 70TH STREET
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3417
Mailing Address - Country:US
Mailing Address - Phone:305-611-3411
Mailing Address - Fax:305-669-1800
Practice Address - Street 1:6001 SW 70TH STREET
Practice Address - Street 2:SUITE 106
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3417
Practice Address - Country:US
Practice Address - Phone:305-611-3411
Practice Address - Fax:305-669-1800
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7892111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist