BAY AREA SURGICAL ASSISTING LLC NPI 1619492642

NPI Information

  • NPI: 1619492642
  • Provider Name: BAY AREA SURGICAL ASSISTING, LLC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 4122 MADISON ST UNIT 262
    ELFERS, FL
    ZIP 34680
  • Phone: (813) 310-5679

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NPI Details

BAY AREA SURGICAL ASSISTING, LLC is a surgical physician assistant in Elfers, FL. BAY AREA SURGICAL ASSISTING, LLC NPI is 1619492642. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4122 MADISON ST UNIT 262
ELFERS, FL
ZIP 34680-711
Phone: (813) 310-5679

The provider's authorized official is Leonard Paul Johns .
The authorized official title is President and has the following contact phone number (813) 310-5679.

The enumeration date for this NPI number is 8/10/2017 and was last updated on 12/16/2024.

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 AssistantSurgicalPA9102691FLORIDAYes

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
1PA9102691OTHERFLORIDAMEDICAL LICENSE

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: 11/21/2025

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