Provider Demographics
NPI:1598147290
Name:YORI TOBIA, COLETTE ELIZABETH (DPM)
Entity Type:Individual
Prefix:DR
First Name:COLETTE
Middle Name:ELIZABETH
Last Name:YORI TOBIA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:COLETTE
Other - Middle Name:ELIZABETH
Other - Last Name:YORI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:8307 NW 88TH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-1539
Mailing Address - Country:US
Mailing Address - Phone:954-721-3411
Mailing Address - Fax:954-721-3411
Practice Address - Street 1:8307 NW 88TH AVE
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321
Practice Address - Country:US
Practice Address - Phone:954-721-3411
Practice Address - Fax:954-721-3411
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLPO3978213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program