Healthcare Provider Details

I. General information

NPI: 1639465263
Provider Name (Legal Business Name): YELENA ZUBATOV M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2011
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16244 S MILITARY TRL STE 560
DELRAY BEACH FL
33484-6532
US

IV. Provider business mailing address

16244 S MILITARY TRL STE 560
DELRAY BEACH FL
33484-6532
US

V. Phone/Fax

Practice location:
  • Phone: 561-495-7787
  • Fax: 561-495-1164
Mailing address:
  • Phone: 561-495-7787
  • Fax: 561-495-1164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME164168
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number276014
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: