Provider Demographics
NPI:1982478988
Name:RUMBAUT, ISACHY
Entity Type:Individual
Prefix:
First Name:ISACHY
Middle Name:
Last Name:RUMBAUT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 BARBADOS RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-6733
Mailing Address - Country:US
Mailing Address - Phone:561-913-7128
Mailing Address - Fax:
Practice Address - Street 1:1920 BARBADOS RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-6733
Practice Address - Country:US
Practice Address - Phone:561-913-7128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker