First Peak Surgical Assisting
Physician Assistant, Surgical in Melbourne Beach, FL. Organization (NPI-2).
NPI number1982113916
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982113916
- Entity type
- Organization (NPI-2)
- Legal business name
- First Peak Surgical Assisting
- Organization subpart
- No
- Enumeration date
- Sep 21, 2017
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | pa9103288 | FL | Yes |
Practice location
310 Amberjack PlMelbourne Beach, FL 32951-2906
Phone 321-684-1193
Mailing address
310 Amberjack PlMelbourne Beach, FL 32951-2906
Phone 321-684-1193
Authorized official
James Daniel Moore
President
3216841193
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