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General NPI Number Information
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NPI Number | 1740150606
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Entity Type | Organization
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Legal Business Name | INFINITY MEDICAL HOME LLC
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 205 NW 15TH PL
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City | CAPE CORAL
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State | FL
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Zip | 33993-7747
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Country | US
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Telephone | 305-790-6544
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Fax |
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Provider Business Mailing Address
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Address Line | 205 NW 15TH PL
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City | CAPE CORAL
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State | FL
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Zip | 33993-7747
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Country | US
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Telephone | 305-790-6544
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JOSE GUSTAVO CEVALLOS YEPEZ
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Credential | MD
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Telephone | 305-790-6544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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