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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

YOGI DAVE
NPI 1629925706
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, FL

Active since March 16, 2026PECOS Enrolled
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308(954) 542-3359(954) 542-5790 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2026, Mar 16, 2026 (2 updates tracked since 2026).

About Yogi Dave NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOGI DAVE (NPI 1629925706) is an individual student in an organized health care education/training program in Fort Lauderdale, Florida, licensed in Florida (45821) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629925706
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameYOGI DAVE
Location Address4725 N FEDERAL HWYFort Lauderdale, FL 33308-4603
Mailing Address4725 N Federal HwyFort Lauderdale, FL 33308-4603 · (954) 542-3359 · Fax (954) 542-5790
Phone(954) 542-3359
Fax(954) 542-5790
Sole ProprietorYes
Enumeration DateMarch 16, 2026
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1629925706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · 45821
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4725 N FEDERAL HWY, Fort Lauderdale, FL 33308
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yogi Dave is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

1ST ASSIST OF SOUTH FLORIDA LLC
Physician Assistant (Surgical)
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Broward County (954) 771-8000
MARY ELIZABETH MCNERNEY
Nurse Anesthetist, Certified Registered
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 771-8000
MARK DRUCKER MD
Emergency Medicine
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Broward County (954) 771-8000
MRS. HOLLY HIRNYK APRN
Nurse Practitioner (Acute Care)
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (614) 679-7841
JULIAN ALEXANDER PURRINOS
Student in an Organized Health Care Education/Training Program
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 542-3359
KATHY NGUYEN TRUONG MD
Student in an Organized Health Care Education/Training Program
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Broward County (954) 542-3359
DAVID GOZANSKY MD
Specialist
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Broward County (954) 938-0500
DR. JOSHUA MICHAEL LARNED M.D.
Internal Medicine (Cardiovascular Disease)
4725 N FEDERAL HWY, SUITE 401
FORT LAUDERDALE, FL 33308
Broward County (954) 772-2136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yogi Dave's NPI number?

The NPI number for Yogi Dave is 1629925706. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Where is Yogi Dave located?

Yogi Dave practices at 4725 N Federal Hwy, Fort Lauderdale, FL 33308. The listed phone number is (954) 542-3359.

What is Yogi Dave's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Yogi Dave enrolled in Medicare?

Yes. Yogi Dave is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yogi Dave was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.