Organization · NPI-2

1st Assist Of South Florida LLC

Physician Assistant, Surgical · Ft Lauderdale, FL

NPI number1003040932
StatusActive
Last updated in NPPESMay 6, 2009

Details

NPI
1003040932
Entity type
Organization (NPI-2)
Legal business name
1st Assist Of South Florida LLC
Organization subpart
No
Enumeration date
May 6, 2009
Last updated
May 6, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical––Yes

Practice location

4725 N Federal Hwy
Ft Lauderdale, FL 33308-4603

Phone 954-771-8000

Mailing address

Po Box 953908
Lake Mary, FL 32795-3908

Phone 407-328-0825

Authorized official

Joseph Mcloughlin
Director
4073280825

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