Organization · Type 2 NPI

Obsidian Surgical Services, LLC

Surgical Physician Assistant · Land O Lakes, FL

NPI number 1003485541 Active

Practice location

3319 Marble Crest Dr
Land O Lakes, FL 34638-6082

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1003485541

Obsidian Surgical Services, LLC's National Provider Identifier is 1003485541, issued on Jun 19, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Land O Lakes, FL. The record was last updated on Jun 19, 2021.