Organization
PHYSICIAN EXTENDERS SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK YAROSH PA (PRESIDENT)
(954) 802-6864
Entity
Organization
Contact information
Practice address
1001 N FEDERAL HWY, SUITE 355, HALLANDALE BEACH, FL 33009-2400
(954) 455-5833
(866) 902-8817
Mailing address
1001 N FEDERAL HWY, SUITE 355, HALLANDALE BEACH, FL 33009-2400
(954) 455-5833
(866) 902-8817
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/20/2009
Last updated
06/13/2011
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