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OCEANSIDE ELITE SURGICAL ASSISTING LLC NPI 1780247189


NPI Information

NPI: 1780247189
Provider Name: OCEANSIDE ELITE SURGICAL ASSISTING, LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
3319 NE 15TH CT
FORT LAUDERDALE, FL
ZIP 33304
Phone: (954) 257-7859
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OCEANSIDE ELITE SURGICAL ASSISTING, LLC is a surgical physician assistant in Fort Lauderdale, FL. OCEANSIDE ELITE SURGICAL ASSISTING, LLC NPI is 1780247189. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3319 NE 15TH CT
FORT LAUDERDALE, FL
ZIP 33304-709
Phone: (954) 257-7859
Fax: (954) 616-8063

The provider's authorized official is Shelby Allison Lane .
The authorized official title is President and has the following contact phone number (954) 257-7859.

The enumeration date for this NPI number is 4/21/2019 and was last updated on 9/16/2019.


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
1363AS0400XPhysician AssistantSurgicalYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.