Provider Demographics
NPI:1316062094
Name:YANKEY, GODFRED K (MD)
Entity type:Individual
Prefix:
First Name:GODFRED
Middle Name:K
Last Name:YANKEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2770 CAPITAL MEDICAL BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-8419
Mailing Address - Country:US
Mailing Address - Phone:850-877-1100
Mailing Address - Fax:850-942-0246
Practice Address - Street 1:2770 CAPITAL MEDICAL BLVD STE 105
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-8419
Practice Address - Country:US
Practice Address - Phone:850-877-1100
Practice Address - Fax:850-942-0246
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036131423208G00000X
OH35.150231208G00000X
390200000X
FLME172026208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program