Organization · Type 2 NPI
Surgical Physician Assistants LLC
Surgical Physician Assistant · Merritt Island, FL
NPI number
1467560896
Active
Practice location
205 Platt Ave
Merritt Island, FL 32952-4963
Fax (321) 574-0590
Mailing address
PO Box 362
Cocoa, FL 32923-0362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA 9102122 (FL) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1467560896
Surgical Physician Assistants LLC's National Provider Identifier is 1467560896, issued on Aug 27, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Merritt Island, FL. The record was last updated on Dec 8, 2010.