Yelena Vidgop is a Neurology in Fort Myers, Florida. Yelena Vidgop practices all healthcare services and medical treatments related to Neurology. The NPI Number for Yelena Vidgop is 1336300771. The last update date is 2023-10-11.
Yelena Vidgop's current location address is 11215 Metro Pkwy Ste 1, Fort Myers, Florida. You can contact this provider via phone number 2392082212 and fax number 2392083994. The mailing address for Yelena Vidgop is 11215 Metro Pkwy Ste 1, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yelena Vidgop |
|---|---|
| Address | 11215 Metro Pkwy Ste 1, Fort Myers, Florida |
| Phone Number | 2392082212 |
| Fax Number | 2392083994 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1336300771 |
|---|---|
| Provider Enumeration Date | 2008-06-18 |
| Last Updated Date | 2023-10-11 |
Provider Mailing Address Detail
| Address | 11215 Metro Pkwy Ste 1 |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339661206 |
| Phone Number | 2392082212 |
| Fax Number | 2392083994 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | MD186189 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3115380 | NH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Yelena Vidgop by the Centers for Medicare & Medicaid Services?
The Yelena Vidgop has been assigned the NPI (National Provider Identifier) 1336300771 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Yelena Vidgop?
The Yelena Vidgop is situated at 11215 Metro Pkwy Ste 1, in the city of Fort Myers, state of FL, with the zip code 339661206.
What is the Yelena Vidgop's specialty and taxonomy code?
The Yelena Vidgop's specialty is Neurology, and the corresponding taxonomy code is 2084N0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336300771 to Yelena Vidgop?
The Centers for Medicare & Medicaid Services originally issued the 1336300771 to Yelena Vidgop on 2008-06-18.
As of what date were the details related to Yelena Vidgop most recently updated or revised?
The information pertaining to Yelena Vidgop, including its address, specialty, and other relevant details, was last updated or revised on 2023-10-11.
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