Healthcare Provider Details

I. General information

NPI: 1841074887
Provider Name (Legal Business Name): YAMILYS EXPOSITO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 VISCAYA PKWY STE 2
CAPE CORAL FL
33990-6200
US

IV. Provider business mailing address

8044 DANCING WIND LN APT 1101
NAPLES FL
34119-3381
US

V. Phone/Fax

Practice location:
  • Phone: 239-772-0111
  • Fax:
Mailing address:
  • Phone: 239-601-4755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11019557
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: