Healthcare Provider Details

I. General information

NPI: 1144514902
Provider Name (Legal Business Name): YAMIL RAMON CARDEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2011
Last Update Date: 08/04/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 RINEHART RD
LAKE MARY FL
32746-2551
US

IV. Provider business mailing address

380 RINEHART RD
LAKE MARY FL
32746-2551
US

V. Phone/Fax

Practice location:
  • Phone: 407-767-1200
  • Fax:
Mailing address:
  • Phone: 407-767-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number72730
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number89997451
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: