Healthcare Provider Details

I. General information

NPI: 1336948876
Provider Name (Legal Business Name): JENNIFER OLIVIA YOST PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 GLADES RD STE 100
BOCA RATON FL
33431-6462
US

IV. Provider business mailing address

817 S UNIVERSITY DR STE 105
PLANTATION FL
33324-3345
US

V. Phone/Fax

Practice location:
  • Phone: 561-955-3500
  • Fax:
Mailing address:
  • Phone: 954-424-9724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9119872
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: