Provider Demographics
NPI:1871569285
Name:NOFSINGER, YOON C (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:YOON
Middle Name:C
Last Name:NOFSINGER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:SELECT PHYSICIANS ALLIANCE
Mailing Address - Street 2:10002 PRINCESS PALM AVE. STE 332
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-8327
Mailing Address - Country:US
Mailing Address - Phone:813-571-7184
Mailing Address - Fax:813-654-4695
Practice Address - Street 1:FLORIDA ENT & ALLERGY
Practice Address - Street 2:3000 MEDICAL PARK DR. STE 200
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4695
Practice Address - Country:US
Practice Address - Phone:813-879-8045
Practice Address - Fax:813-978-3667
Is Sole Proprietor?:No
Enumeration Date:2006-02-25
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME81539207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00755943OtherMEDICARE RAILROAD
FL279908100Medicaid
FLP00755943OtherMEDICARE RAILROAD
FL57977YMedicare PIN