First Line Surgical Assist LLC
Specialist/Technologist, Other, Surgical Assistant in Jacksonville, FL. Organization (NPI-2).
NPI number1982502399
StatusActive
Last updated in NPPESOct 27, 2026
Details
- NPI
- 1982502399
- Entity type
- Organization (NPI-2)
- Legal business name
- First Line Surgical Assist LLC
- Organization subpart
- No
- Enumeration date
- Oct 27, 2026
- Certification date
- Oct 27, 2026
- Last updated
- Oct 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | – | Yes |
Practice location
13349 Princess Kelly DrJacksonville, FL 32225-4948
Phone 386-225-3099
Mailing address
13349 Princess Kelly DrJacksonville, FL 32225-4948
Phone 386-225-3099
Authorized official
Priscilla Benjamin Castro
Surgical Assistant
3862253099
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