Healthcare Provider Details

I. General information

NPI: 1144159393
Provider Name (Legal Business Name): WEST ATLANTIC PREMIUM HEALTH 'PLLC'
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4731 W ATLANTIC AVE STE B15
DELRAY BEACH FL
33445-3897
US

IV. Provider business mailing address

250 CONGRESS PARK DR APT 219
DELRAY BEACH FL
33445-4745
US

V. Phone/Fax

Practice location:
  • Phone: 786-824-1757
  • Fax: 561-905-1102
Mailing address:
  • Phone: 786-824-1757
  • Fax: 786-824-1757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BUKARI MOHAMMED YAKUBU
Title or Position: CEO
Credential: MD
Phone: 786-824-1757