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NPI Code Detail

MEDICARE: DR. DIEGO TAN YANGCO JR. M.D.

MEDICARE:  DR. DIEGO TAN YANGCO JR. M.D.
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
1207R00000XInternal Medicine PhysicianME76364FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619953007
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIEGO TAN YANGCO JR. M.D.
Provider Business Mailing Address
First Line : 515 WEKIVA COMMONS CIR
Second Line :
City : APOPKA
State : FL
Zip : 32712-3645
Country : US
Telephone Number : 407-464-9516
Fax Number : 407-464-9519
Provider Business Practice Location Address
First Line : 515 WEKIVA COMMONS CIR
Second Line :
City : APOPKA
State : FL
Zip : 32712-3645
Country : US
Telephone Number : 407-464-9516
Fax Number : 407-464-9519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 09/23/2021

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Directions to “ DR. DIEGO TAN YANGCO JR. M.D.” Practice Location

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