# RELIANT SPECIALTY MEDICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104388131
- **Authorized official:** MR. STERLING YATES (CHAIRMAN)
- **Authorized official phone:** (803) 931-6377

## Contact information

- **Practice address:** 2020 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL 33306-1106
- **Practice address phone:** (754) 234-0155
- **Mailing address:** 410 EVERNIA ST APT 727, WEST PALM BEACH, FL 33401-5439
- **Mailing address phone:** (803) 931-6377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 163W00000X | Registered Nurse | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 171100000X | Acupuncturist | — | — | — |
| 202K00000X | Phlebology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/31/2019
- **Last updated:** 05/20/2019