Organization · Type 2 NPI

Independentsurgiassistllc

Surgical Physician Assistant · Fort Lauderdale, FL

NPI number 1104724525 Active

Practice location

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603

Mailing address

8451 Lake Majesty Ln
Parkland, FL 33076-2899

Other practice locations

  • 800 Meadows Rd, Boca Raton, FL 33486-2304 · (561) 955-7100

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1104724525

Independentsurgiassistllc's National Provider Identifier is 1104724525, issued on Oct 27, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Oct 27, 2026.