Provider Demographics
NPI:1104470558
Name:ABELLA-RADJAI, YAMILKA (APRN)
Entity type:Individual
Prefix:
First Name:YAMILKA
Middle Name:
Last Name:ABELLA-RADJAI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2855 N UNIVERSITY DR STE 220
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-1403
Mailing Address - Country:US
Mailing Address - Phone:954-688-7192
Mailing Address - Fax:954-866-6356
Practice Address - Street 1:2855 N UNIVERSITY DR STE 220
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-1403
Practice Address - Country:US
Practice Address - Phone:954-688-7192
Practice Address - Fax:954-866-6356
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11003147363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily