Provider Demographics
NPI:1972594612
Name:YOGEL, LOUIS ROBERT (MD)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:ROBERT
Last Name:YOGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:MANAGED CARE DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:1200 E BROWARD BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2134
Practice Address - Country:US
Practice Address - Phone:954-463-6408
Practice Address - Fax:954-463-1858
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0051131208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00731866OtherRAILROAD MEDICARE
FLP0003141OtherFLORIDA HEALTHCARE PLUS
FL002715OtherNEIGHBORHOOD HEALTH PROV. ID
FL00434OtherWELLCARE
FL0471348-00Medicaid
FL04477OtherBCBS
FLPRL00000274356OtherPREFERRED MEDICAL PLAN (COMM/MEDICARE)
FLP0003141OtherFLORIDA HEALTHCARE PLUS
FLPRL00000274356OtherPREFERRED MEDICAL PLAN (COMM/MEDICARE)
FL04477YMedicare PIN