Organization Active NPI

Yannucci Medical, PLLC

  • Family Medicine Physician
  • Avon Park, FL
National Provider Identifier
1982134797
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME92786 Issued in FL
Legal business name
YANNUCCI MEDICAL, PLLC
Practice address
2523 US Highway 27 S Ste 130
Avon Park, FL 33825-9690
Phone
(863) 657-2300
NPI assigned
Jun 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Joseph Yannucci II, MD
Title
Owner/ President
Phone
(863) 657-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME92786 FL Primary

Addresses

Primary practice location

2523 US Highway 27 S Ste 130
Avon Park, FL 33825-9690

Mailing address

2523 US Highway 27 S Ste 130
Avon Park, FL 33825-9690
Phone (863) 657-2300

National Provider Directory

National Provider Directory

Locations

2523 US Highway 27 S
Ste 130
Avon Park, FL 33825
Phone (863) 452-0710

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982134797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 US HIGHWAY 27 S STE 130",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259690",
            "telephone_number": "863-657-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 US HIGHWAY 27 S STE 130",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259690",
            "telephone_number": "863-657-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANNUCCI MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YANNUCCI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "863-657-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME92786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.