Provider Demographics
NPI:1316727050
Name:YTURRALDE LLC
Entity type:Organization
Organization Name:YTURRALDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:YTURRALDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-952-8866
Mailing Address - Street 1:1841 N LAKE SHORE DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-3447
Mailing Address - Country:US
Mailing Address - Phone:941-952-8866
Mailing Address - Fax:941-200-4176
Practice Address - Street 1:1841 N LAKE SHORE DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-3447
Practice Address - Country:US
Practice Address - Phone:941-952-8866
Practice Address - Fax:941-200-4176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty