Provider Demographics
NPI:1376234807
Name:INTEGRITY GERIATRICS LLC
Entity Type:Organization
Organization Name:INTEGRITY GERIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:YANGO-CADAVOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-550-0646
Mailing Address - Street 1:6696 MARBELLA LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-5030
Mailing Address - Country:US
Mailing Address - Phone:816-550-0646
Mailing Address - Fax:
Practice Address - Street 1:1333 3RD AVE S STE 506
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6538
Practice Address - Country:US
Practice Address - Phone:239-304-8040
Practice Address - Fax:239-331-3859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty