MEDICARE: GODFRED K YANKEY MD

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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	036131423	IL
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	35.150231	OH
3	390200000X	Student in an Organized Health Care Education/Training Program
4	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	ME172026	FL

General Provider Information

NPI Number	:	1316062094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GODFRED K YANKEY MD

Provider Business Mailing Address
First Line	:	2770 CAPITAL MEDICAL BLVD STE 105
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8419
Country	:	US
Telephone Number	:	850-877-1100
Fax Number	:	850-942-0246

Provider Business Practice Location Address
First Line	:	2770 CAPITAL MEDICAL BLVD STE 105
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8419
Country	:	US
Telephone Number	:	850-877-1100
Fax Number	:	850-942-0246

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	06/04/2025

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Directions to “ GODFRED K YANKEY MD” Practice Location

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