| NPI | 1194484436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK YAROSH President 954-802-6864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2022-01-25 |