Provider Demographics
NPI:1962544882
Name:YASSER ASMAR MD PA
Entity type:Organization
Organization Name:YASSER ASMAR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YASSER
Authorized Official - Middle Name:
Authorized Official - Last Name:ASMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-669-3291
Mailing Address - Street 1:PO BOX 565085
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33256-5085
Mailing Address - Country:US
Mailing Address - Phone:305-669-3291
Mailing Address - Fax:305-459-1832
Practice Address - Street 1:8525 SW 92ND ST STE D15
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7378
Practice Address - Country:US
Practice Address - Phone:305-669-3291
Practice Address - Fax:305-459-1832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL273766300Medicaid
FLI143715Medicare UPIN
FL273766300Medicaid