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HEARTLAND SURGICAL ASSISTANTS INC NPI 1689764763


NPI Information

NPI: 1689764763
Provider Name: HEARTLAND SURGICAL ASSISTANTS, INC
Classification: Physician Assistant - 363A00000X
Entity Type: Organization
Address:
200 AVENUE F NE
WINTER HAVEN, FL
ZIP 33881
Phone: (863) 381-7647
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HEARTLAND SURGICAL ASSISTANTS, INC is a physician assistant in Winter Haven, FL. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. HEARTLAND SURGICAL ASSISTANTS, INC NPI is 1689764763. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 AVENUE F NE
WINTER HAVEN, FL
ZIP 33881-131
Phone: (863) 381-7647

The provider's authorized official is Kevin K Carlisle .
The authorized official title is President and has the following contact phone number (863) 381-7632.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA1682FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DA4132OTHERFLORIDARAILROAD MEDICARE
2X1592OTHERFLORIDABCBS

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

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