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 | 2024-11-11 |