NPI | 1003144601 |
---|---|
Entity Type | Organization |
Authorized Contact | RICK YAROSH President 954-802-6864 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2009-11-20 |
Last Update Date | 2011-06-13 |