Healthcare Provider Details

I. General information

NPI: 1659231314
Provider Name (Legal Business Name): YAB HEALTH & COMMUNITY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 CONCOURSE PKWY S STE 243
MAITLAND FL
32751-6154
US

IV. Provider business mailing address

4316 SUMMIT CREEK BLVD APT 3204
ORLANDO FL
32837-5588
US

V. Phone/Fax

Practice location:
  • Phone: 689-245-5979
  • Fax:
Mailing address:
  • Phone: 689-245-5979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YAIRYS ARZOLA BOBADILLA
Title or Position: OWNER
Credential:
Phone: 689-245-5979