FT LAUDERDALE FIRST ASSIST LLC NPI 1811175052

NPI Information

NPI: 1811175052
Provider Name: FT LAUDERDALE FIRST ASSIST, LLC
Classification: Clinical Nurse Specialist - 364SM0705X
Specialization: Medical-Surgical
Entity Type: Organization
Former Legal Business Name: FT LAUDERDALE FIRST ASSIST
Address: 1600 SARNO ROAD
SUITE 15
MELBOURNE, FL
ZIP 32935
Phone: (800) 348-4565

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NPI Details

FT LAUDERDALE FIRST ASSIST, LLC is a medical-surgical clinical nurse specialist in Melbourne, FL. FT LAUDERDALE FIRST ASSIST, LLC NPI is 1811175052. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Ft Lauderdale First Assist.

The provider's business location address is:

1600 SARNO ROAD
SUITE 15
MELBOURNE, FL
ZIP 32935
Phone: (800) 348-4565
Fax: (321) 610-5115

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 2/8/2008 and was last updated on 12/5/2014.

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	PA 3649	FLORIDA	No
2	364SM0705X	Clinical Nurse Specialist	Medical-Surgical	RN 3003202	FLORIDA	No
3	363AS0400X	Physician Assistant	Surgical			No
4	364SM0705X	Clinical Nurse Specialist	Medical-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	001019600	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: 11/21/2025

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