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Organization

RELIANT SPECIALTY MEDICAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STERLING YATES (CHAIRMAN)
(803) 931-6377
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
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
Primary
225100000X
Physical Therapist
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
03/31/2019
Last updated
05/20/2019
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