WEST PALM BEACH SURGICAL ASSISTING LLC (NPI# 1710513056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710513056 |
| Entity Type | Organization |
| Organization Name | WEST PALM BEACH SURGICAL ASSISTING LLC |
| Practice Address |
10628 Paso Fino Dr Lake Worth FL 33449-8018 |
| Mailing Address |
Po Box 210241 Royal Palm Beach FL 33421-0241 |
| Practice Telephone | 5616318171 |
| Practice Fax Number | 5616318171 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-05-17 |
| Authorized Official Name | MR. JOHN SANTORO (SA-C) |
| Authorized Official Telephone | 5616318171 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ABSA CERT - SURGICAL ASSISTANT - CERTIFIED | 19-195 | 01 |
| Street Address |
10628 PASO FINO DR |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33449-8018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194389361 | John Santoro | Physician Assistant | 10628 Paso Fino Dr, Lake Worth, FL 33449-8018 | 2019-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324398 | Rachel Hoffmann | Speech-Language Pathologist | 3377 S State Rd 7, Wellington, FL 33449 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1750858148 | Lean On Me Companion LLC | Homemaker | 10048 Southern Pride Place, Lake Worth, FL 33449 | 2018-10-24 |
| 1851833958 | Caroline Pena | Acupuncturist | 3347 S State Road 7 Ste 200, Wellington, FL 33449 | 2016-11-07 |
| 1467823294 | Sophia Dionne Lyn Chinque | Nurse Practitioner | 10358 Olde Clydesdale Circle, Lake Worth, FL 33449 | 2015-10-20 |
| 1285987057 | Jose L. Martinez Md Pa | Internal Medicine | 11653 South Breeze Pl, Wellington, FL 33449 | 2012-10-18 |
| 1396017224 | Joseph Harold Cohen | Internal Medicine | 4431jamesestatelane, Wellington, FL 33449 | 2012-02-08 |
| 1215223870 | Apollo Medical Management | Non-Pharmacy Dispensing Site | 3347 State Rd 7, Suite 203, Wellington, FL 33449 | 2011-06-22 |
| 1568757987 | Rishi Jay Panchal | Internal Medicine | 3347 S State Road 7 Ste 203, Wellington, FL 33449 | 2011-06-14 |
| 1194987222 | Advanced Surgery Center of Palm Beach County, LLC | Clinic/Center | 5065 South State Rd 7, Suite 100, Lake Worth, FL 33449 | 2008-06-30 |
| Find all providers in zip 33449 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1194389361 | John Santoro | Physician Assistant | 10628 Paso Fino Dr, Lake Worth, FL 33449-8018 | 2019-04-23 |
| 1043536402 | On Call, Inc | Physician Assistant | 6660 Ashburn Rd, Lake Worth, FL 33467-7316 | 2010-04-10 |
| 1548273097 | Oscar J Ordenana | Physician Assistant | 1926 10th Ave N Ste 105, Lake Worth, FL 33461-3300 | 2006-08-15 |
| 1770117830 | Monica Tirtarahardja | Physician Assistant | 5503 S Congress Ave Ste 204, Lake Worth, FL 33462-6626 | 2020-02-27 |
| 1831747427 | Jose Munoz Surgical Assistant Services LLC | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-28 |
| 1457895161 | Shannen Marie Seversen | Physician Assistant | 3618 Lantana Road, Suite 200, Lake Worth, FL 33462-2247 | 2016-12-14 |
| 1023401023 | Heather Vangeldren Rnfa Services Inc | Physician Assistant | 7615 Woodland Creek Ln, Lake Worth, FL 33467-6522 | 2015-03-15 |
| 1659650620 | Stephanie L Ferrer | Physician Assistant | 4685 S Congress Ave, Suite 201, Lake Worth, FL 33461-4761 | 2011-08-09 |
| 1851408587 | Clare Morales | Physician Assistant | 4665 S Congress Ave, Suite 100, Lake Worth, FL 33461-4754 | 2006-08-25 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33449 |
Please comment or provide details below to improve the information on WEST PALM BEACH SURGICAL ASSISTING LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.