Organization
TREES PHYSICIAN GROUP OF BOCA RATON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT YAGODA (CEO)
(561) 717-2112
Entity
Organization
Contact information
Practice address
2201 NW CORPORATE BLVD STE 203, BOCA RATON, FL 33431-7337
(561) 717-2112
(561) 717-2204
Mailing address
2201 NW CORPORATE BLVD STE 203, BOCA RATON, FL 33431-7337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
225700000X
Massage Therapist
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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