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NPI Code Detail

MEDICARE: YVONNE MEDVECKY RODRIGUEZ FNP-BC

MEDICARE:   YVONNE MEDVECKY RODRIGUEZ  FNP-BC
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
1363LF0000XFamily Nurse PractitionerAPRN11040604FL

Other Identifiers

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

General Provider Information

NPI Number : 1568344117
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVONNE MEDVECKY RODRIGUEZ FNP-BC
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-9800
Fax Number : 239-343-9848
Provider Business Practice Location Address
First Line : 4771 S CLEVELAND AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-1317
Country : US
Telephone Number : 239-343-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2025
Last Update Date : 12/09/2025

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Directions to “ YVONNE MEDVECKY RODRIGUEZ FNP-BC” Practice Location

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