OCEANSIDE ELITE SURGICAL ASSISTING LLC NPI 1780247189

NPI Information

  • NPI: 1780247189
  • Provider Name: OCEANSIDE ELITE SURGICAL ASSISTING, LLC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 3319 NE 15TH CT
    FORT LAUDERDALE, FL
    ZIP 33304
  • Phone: (954) 257-7859

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 3/30/2025

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