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NPI Code Detail

MEDICARE: CHARINA YANGO-CADAVOS LLC

MEDICARE: CHARINA YANGO-CADAVOS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME97998FL

General Provider Information

NPI Number : 1568828606
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARINA YANGO-CADAVOS LLC
Provider Business Mailing Address
First Line : 6696 MARBELLA LN
Second Line :
City : NAPLES
State : FL
Zip : 34105-5030
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1333 3RD AVE S STE 506
Second Line :
City : NAPLES
State : FL
Zip : 34102-6538
Country : US
Telephone Number : 239-304-8040
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. CHARINA YANGO-CADAVOS
Credential : MD
Telephone Number : 816-550-0646
Provider Enumeration Date : 01/05/2016
Last Update Date : 12/13/2021

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Directions to “CHARINA YANGO-CADAVOS LLC ” Practice Location

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