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Contact Information

STAT SURGICAL FIRST ASSISTING
1581 SW BAYSHORE BLVD
PORT SAINT LUCIE, FL34983
 Phone: 561-603-7564
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STAT SURGICAL FIRST ASSISTING · (Female)

NPI # 1396294419
Status Active
Credentials
Entity Individual
Enumeration date 09/30/2016
Last updated 06/20/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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