NPI 1720374077

Physician Extenders Services Naples, INC.

Organisation Physician Assistant Hallandale Beach, FL

Practice location

Address: 1001 N Federal Hwy Suite 355, Hallandale Beach, FL 33009-2400
Phone: (954) 455-5833
Fax: (866) 902-8817

Authorised official

Name: Rick Yarosh
Title: President
Phone: (954) 455-5833

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9101963 (FL)

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Registry record

NPI: 1720374077
Entity type: Organization
NPI issued: 24 Jun 2011
Record last updated: 24 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.