FLORIDA PRACTITIONERS LLC NPI 1528456548

NPI Information

NPI: 1528456548
Provider Name: FLORIDA PRACTITIONERS, LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
1995 E OAKLAND PARK BLVD STE 250
FT LAUDERDALE, FL
ZIP 33306
Phone: (615) 657-4805
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FLORIDA PRACTITIONERS, LLC is a surgical physician assistant in Ft Lauderdale, FL. FLORIDA PRACTITIONERS, LLC NPI is 1528456548. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1995 E OAKLAND PARK BLVD STE 250
FT LAUDERDALE, FL
ZIP 33306-149
Phone: (615) 657-4805
Fax: (954) 337-2733

The provider's authorized official is John Tobias Gray .
The authorized official title is Ceo and has the following contact phone number (954) 791-6146.

The enumeration date for this NPI number is 12/29/2014 and was last updated on 6/23/2020.

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	363AS0400X	Physician Assistant	Surgical	PA3649	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	020654300	MEDICAID	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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