RELIANT SPECIALTY MEDICAL SERVICES LLC NPI 1104388131

NPI Information

NPI: 1104388131
Provider Name: RELIANT SPECIALTY MEDICAL SERVICES, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2020 E OAKLAND PARK BLVD
FORT LAUDERDALE, FL
ZIP 33306
Phone: (754) 234-0155
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RELIANT SPECIALTY MEDICAL SERVICES, LLC is a general practice in Fort Lauderdale, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RELIANT SPECIALTY MEDICAL SERVICES, LLC NPI is 1104388131. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2020 E OAKLAND PARK BLVD
FORT LAUDERDALE, FL
ZIP 33306-106
Phone: (754) 234-0155

The provider's authorized official is Sterling Yates .
The authorized official title is Chairman and has the following contact phone number (803) 931-6377.

The enumeration date for this NPI number is 3/31/2019 and was last updated on 5/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	163W00000X	Registered Nurse		No
3	164W00000X	Licensed Practical Nurse		No
4	171100000X	Acupuncturist		No
5	202K00000X	Phlebology		No
6	103T00000X	Psychologist		No
7	207R00000X	Internal Medicine		No
8	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry	No
9	2084N0400X	Psychiatry & Neurology	Neurology	No
10	2084P0800X	Psychiatry & Neurology	Psychiatry	No
11	225100000X	Physical Therapist		No
12	363LF0000X	Nurse Practitioner	Family	No
13	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
14	207Q00000X	Family Medicine		No
15	208D00000X	General Practice		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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