Healthcare Provider Details

I. General information

NPI: 1093982928
Provider Name (Legal Business Name): LINDA YABLON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2008
Last Update Date: 05/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23273 LAGO MAR CIR
BOCA RATON FL
33433-7244
US

IV. Provider business mailing address

23273 LAGO MAR CIR
BOCA RATON FL
33433-7244
US

V. Phone/Fax

Practice location:
  • Phone: 561-395-8645
  • Fax: 561-367-1209
Mailing address:
  • Phone: 561-395-8645
  • Fax: 561-367-1209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: