Provider Demographics
NPI:1326025479
Name:YING, JOEL ORLANDO (MD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:ORLANDO
Last Name:YING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11717
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34101-1717
Mailing Address - Country:US
Mailing Address - Phone:239-200-6796
Mailing Address - Fax:844-309-1319
Practice Address - Street 1:4961 CORAL WOOD DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-1459
Practice Address - Country:US
Practice Address - Phone:239-200-6796
Practice Address - Fax:844-309-1319
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-29
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME83168207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
I22434Medicare UPIN