SPECIALTYCARE SURGICAL ASSIST LLC NPI 1740395748

NPI Information

NPI: 1740395748
Provider Name: SPECIALTYCARE SURGICAL ASSIST, LLC

Former Legal Business Name: SURGICAL ASSIST, LLC

Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
2240 W WOOLBRIGHT RD STE 210
BOYNTON BEACH, FL
ZIP 33426
Phone: (800) 348-4565
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SPECIALTYCARE SURGICAL ASSIST, LLC is a surgical physician assistant in Boynton Beach, FL. SPECIALTYCARE SURGICAL ASSIST, LLC NPI is 1740395748. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Surgical Assist, Llc.

The provider's business location address is:

2240 W WOOLBRIGHT RD STE 210
BOYNTON BEACH, FL
ZIP 33426-363
Phone: (800) 348-4565
Fax: (615) 345-5405

The provider's authorized official is Jeffrey T Gray .
The authorized official title is Cfo & Treasurer and has the following contact phone number (615) 345-5550.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 12/20/2018.

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			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	292913900	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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