Individual
DR. KONSTANTINE KONSTANTINE YANKOPOLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3880 COLONIAL BLVD, SUITE 2, FORT MYERS, FL 33966-1062
(239) 590-3883
(239) 590-3884
Mailing address
3880 COLONIAL BLVD, SUITE 2, FORT MYERS, FL 33966-1062
(239) 590-3883
(239) 590-3884
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
022595
FL
208VP0000X
Pain Medicine Physician
Primary
ME22595
FL
Other
Enumeration date
02/14/2008
Last updated
05/01/2012
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