ADVANCED SURGICAL & PHYSICIAN ASSISTANT SERVICES INC NPI 1053043059

NPI Information

  • NPI: 1053043059
  • Provider Name: ADVANCED SURGICAL & PHYSICIAN ASSISTANT SERVICES INC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 461 MALLARD LN
    INDIALANTIC, FL
    ZIP 32903
  • Phone: (407) 451-0192

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NPI Details

ADVANCED SURGICAL & PHYSICIAN ASSISTANT SERVICES INC is a surgical physician assistant in Indialantic, FL. ADVANCED SURGICAL & PHYSICIAN ASSISTANT SERVICES INC NPI is 1053043059. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

461 MALLARD LN
INDIALANTIC, FL
ZIP 32903-735
Phone: (407) 451-0192
Fax: (321) 600-4004

The provider's authorized official is Dale P Greyslak .
The authorized official title is Owner and has the following contact phone number (407) 451-0192.

The enumeration date for this NPI number is 6/28/2022 and was last updated on 6/28/2022.

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 License Number License State Primary
1363AS0400XPhysician AssistantSurgicalYes

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: 3/30/2025

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