Provider Demographics
NPI:1386997799
Name:YUHAS, STEPHEN D (HIS)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:D
Last Name:YUHAS
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 PALM COAST PKWY SW
Mailing Address - Street 2:SUITE 109
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-4746
Mailing Address - Country:US
Mailing Address - Phone:386-447-3530
Mailing Address - Fax:386-447-3633
Practice Address - Street 1:1000 PALM COAST PKWY SW
Practice Address - Street 2:SUITE 109
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-4746
Practice Address - Country:US
Practice Address - Phone:386-447-3530
Practice Address - Fax:386-447-3633
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4705237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist