Healthcare Provider Details

I. General information

NPI: 1407514672
Provider Name (Legal Business Name): YAMILEE C CABROL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 COMMERCIAL CT STE C
VENICE FL
34292-1655
US

IV. Provider business mailing address

PO BOX 25487
SARASOTA FL
34277-2487
US

V. Phone/Fax

Practice location:
  • Phone: 941-487-6235
  • Fax: 941-209-5322
Mailing address:
  • Phone: 941-216-0072
  • Fax: 877-807-0253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number11015919
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: