MEDICARE: CHARLES WARREN YOWELL M.D.

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	208800000X	Urology Physician	36917	SC
2	208800000X	Urology Physician	ME95784	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447213467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES WARREN YOWELL M.D.

Provider Business Mailing Address
First Line	:	5151 WINTER GARDEN VINELAND RD
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-6098
Country	:	US
Telephone Number	:	321-842-7888
Fax Number	:	321-842-9338

Provider Business Practice Location Address
First Line	:	5151 WINTER GARDEN VINELAND RD
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-6098
Country	:	US
Telephone Number	:	321-842-7888
Fax Number	:	321-842-9338

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	01/06/2025

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