BREVARD SURGICAL SOLUTIONS L.L.C. NPI 1891085692

NPI Information

NPI: 1891085692
Provider Name: BREVARD SURGICAL SOLUTIONS L.L.C.
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
11302 NW 31ST RD
GAINESVILLE, FL
ZIP 32606
Phone: (407) 761-7340
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BREVARD SURGICAL SOLUTIONS L.L.C. is a surgical physician assistant in Gainesville, FL. BREVARD SURGICAL SOLUTIONS L.L.C. NPI is 1891085692. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11302 NW 31ST RD
GAINESVILLE, FL
ZIP 32606-840
Phone: (407) 761-7340

The provider's authorized official is Bryan Keith Stewart .
The authorized official title is President and has the following contact phone number (407) 761-7340.

The enumeration date for this NPI number is 4/13/2011 and was last updated on 4/13/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA 9104639	FLORIDA	Yes

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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