Provider Demographics
NPI:1164969432
Name:SAINT FORT, YOLAINE (CCPA)
Entity Type:Individual
Prefix:
First Name:YOLAINE
Middle Name:
Last Name:SAINT FORT
Suffix:
Gender:F
Credentials:CCPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15025 MICHELANGELO BLVD APT 203
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-2896
Mailing Address - Country:US
Mailing Address - Phone:561-860-3134
Mailing Address - Fax:561-433-8709
Practice Address - Street 1:3003 S CONGRESS AVE
Practice Address - Street 2:SUITE 2E
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2169
Practice Address - Country:US
Practice Address - Phone:561-432-6959
Practice Address - Fax:561-433-8709
Is Sole Proprietor?:No
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCI306111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation