Individual
DR. FAN YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
12701 COMMONWEALTH DR, FORT MYERS, FL 33913-8626
(239) 768-0600
(239) 768-1672
Mailing address
12701 COMMONWEALTH DR, FORT MYERS, FL 33913-8626
(239) 768-0600
(239) 768-1672
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME92711
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272095700
—
FL
Enumeration date
06/27/2006
Last updated
05/12/2009
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