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Organization

STERLING MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. YOLANDE THOMAS-ELLIS PA (PHYSICIAN ASSISTANT)
(954) 575-4940
Entity
Organization

Contact information

Practice address
9900 W SAMPLE RD, CORAL SPRINGS, FL 33065-4048
(954) 575-4940
Mailing address
2181 NW 139TH TER, PEMBROKE PINES, FL 33028-2838
(954) 442-1619

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PA9101194
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0041421
LICENSE
NY
01
PA9101194
LICENSE
FL
Enumeration date
06/11/2006
Last updated
08/22/2020
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