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NPI Code Detail

MEDICARE: YUDEXY MEDINA

MEDICARE: YUDEXY MEDINA
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
1363LF0000XFamily Nurse Practitioner11027754FL

General Provider Information

NPI Number : 1588345961
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUDEXY MEDINA
Provider Business Mailing Address
First Line : 8151 CLEAVES RD
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33903-4328
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2307 BOLADO PKWY
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-2712
Country : US
Telephone Number : 239-424-8122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2023
Last Update Date : 07/29/2025

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Directions to “ YUDEXY MEDINA ” Practice Location

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