| Dr Yovanni Tineo P A | |
|
90 Cypress Way E Ste 10 Naples FL 34110-9275 | |
| (239) 592-5655 | |
| (239) 592-1370 |
| Full Name | Dr Yovanni Tineo P A |
|---|---|
| Speciality | Family Medicine |
| Location | 90 Cypress Way E Ste 10, Naples, Florida |
| Authorized Official Name and Position | Yovanni Tineo (PRESIDENT) |
| Authorized Official Contact | 2395925655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Yovanni Tineo P A 90 Cypress Way E Ste 10 Naples FL 34110-9275 Ph: (239) 592-5655 | Dr Yovanni Tineo P A 90 Cypress Way E Ste 10 Naples FL 34110-9275 Ph: (239) 592-5655 |
| NPI Number | 1043340342 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5698878858 |
|---|---|
| Medicare Enrollment ID | O20070309000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043340342 | NPI | - | NPPES |
| 79339 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS8954 (Florida) | Primary |
| Provider Name | Yovanni J Tineo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629001367 PECOS PAC ID: 2567565724 Enrollment ID: I20070309000104 |
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