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PA ASSOCIATES 'LLC.' NPI 1891001939


NPI Information

NPI: 1891001939
Provider Name: PA ASSOCIATES 'LLC.'
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
110 ORLANDO BLVD
INDIALANTIC, FL
ZIP 32903
Phone: (321) 506-6781
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PA ASSOCIATES 'LLC.' is a surgical physician assistant in Indialantic, FL. PA ASSOCIATES 'LLC.' NPI is 1891001939. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

110 ORLANDO BLVD
INDIALANTIC, FL
ZIP 32903-419
Phone: (321) 506-6781

The provider's authorized official is Anthony A. Moore .
The authorized official title is President and has the following contact phone number (321) 506-6781.

The enumeration date for this NPI number is 8/26/2010 and was last updated on 12/22/2011.


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 AssistantSurgicalPA9104697FLORIDAYes

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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