KRAYSSA SURGICAL ASSIST PA NPI 1104274760

NPI Information

NPI: 1104274760
Provider Name: KRAYSSA SURGICAL ASSIST, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
601 NW 82ND AVE APT 331
PLANTATION, FL
ZIP 33324
Phone: (954) 648-7850
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KRAYSSA SURGICAL ASSIST, PA is a surgical physician assistant in Plantation, FL. KRAYSSA SURGICAL ASSIST, PA NPI is 1104274760. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

601 NW 82ND AVE APT 331
PLANTATION, FL
ZIP 33324-397
Phone: (954) 648-7850

The provider's authorized official is Watfa Krayssa .
The authorized official title is President/ceo and has the following contact phone number (954) 648-7850.

The enumeration date for this NPI number is 5/24/2016 and was last updated on 5/24/2016.

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
1	363AM0700X	Physician Assistant	Medical	PA9104341	FLORIDA	No
2	363AS0400X	Physician Assistant	Surgical	PA9104341	FLORIDA	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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