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De La Selva First Assist,llc

Specialist/Technologist, Other, Surgical Assistant in Pompano Beach, FL. Organization (NPI-2).

NPI number1477201804
StatusActive
Last updated in NPPESMar 15, 2022

Details

NPI
1477201804
Entity type
Organization (NPI-2)
Legal business name
De La Selva First Assist,llc
Organization subpart
No
Enumeration date
Mar 15, 2022
Certification date
Mar 15, 2022
Last updated
Mar 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant––Yes

Practice location

4611 N Federal Hwy Apt 221
Pompano Beach, FL 33064-6669

Phone 210-685-7023

Mailing address

4611 N Federal Hwy Apt 221
Pompano Beach, FL 33064-6669

Phone 210-685-7023

Authorized official

Anna De La Selva McMillian
Csfa
2106857023

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