Individual provider · Type 1 NPI

Bao Yang, PA-C

Medical Physician Assistant · Ponte Vedra Beach, FL

NPI number 1154723500 Active

Practice location

103 Solana Rd Ste B
Ponte Vedra Beach, FL 32082-2231

Call (904) 273-2717 Map

Fax (904) 273-0410

Other practice locations

  • 791 Amelia Island Pkwy, Fernandina Beach, FL 32034-9126 · (904) 261-7500
  • 614 E Twincourt Trl, St. Augustine, FL 32095-9090 · (904) 808-7107

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9113236 (FL)

Medical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1154723500

Bao Yang, PA-C's National Provider Identifier is 1154723500, issued on Sep 17, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Jul 2, 2026.