JOSE MUNOZ SURGICAL ASSISTANT SERVICES LLC (NPI# 1831747427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831747427 |
| Entity Type | Organization |
| Organization Name | JOSE MUNOZ SURGICAL ASSISTANT SERVICES LLC |
| Practice Address |
4801 Esedra Ct Apt 203 Lake Worth FL 33467-5019 |
| Practice Telephone | 5613504592 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | JOSE MUNOZ (OWNER) |
| Authorized Official Telephone | 5613504592 |
| 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 |
| Street Address |
4801 ESEDRA CT APT 203 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33467-5019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259537 | Paulette Penning | Nurse Practitioner | Clinic 7891 8954 Lantana Rd, Lake Worth, FL 33467 | 2019-01-28 |
| 1700357183 | Dara Gill | Physical Therapist | 9897 Lake Worth Rd Ste 203, Lake Worth, FL 33467 | 2018-12-11 |
| 1609344977 | Farah Edwidge Johanne Sajous | Nurse Practitioner | 9351 Pinto Dr, Lake Worth, FL 33467 | 2018-11-05 |
| 1386110138 | Juliana Escamilla | Massage Therapist | 390 Bennington Lane, Apt B, Lake Worth, FL 33467 | 2018-10-19 |
| 1609369453 | Courtney Kehaulani Linke | Occupational Therapist | 4602 Sandy Cove Ter, Lake Worth, FL 33467 | 2018-06-07 |
| 1821589862 | Matthew James Dowda | Physical Therapy Assistant | 5342 Evening Star Way, Lake Worth, FL 33467 | 2018-05-25 |
| 1053828954 | Ailema Bayola Perez | Dentist | 3935 Jog Rd, Suite 16, Greenacres, FL 33467 | 2018-01-02 |
| 1922517424 | Metro Physical & Occupational Therapy Inc | Occupational Therapist | 9130 Hypoluxo Road, Lake Worth, FL 33467 | 2017-09-27 |
| 1659806826 | Advanced Placement Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 9627 Bergamo Street, Lake Worth, FL 33467 | 2017-04-26 |
| 1700326378 | Doctor's Choice Medical Center, Inc | Clinic/Center | 2994 S Jog Rd Ste A, Greenacres, FL 33467 | 2017-03-02 |
| Find all providers in zip 33467 | ||||
| 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 |
| 1710513056 | West Palm Beach Surgical Assisting LLC | Physician Assistant | 10628 Paso Fino Dr, Lake Worth, FL 33449-8018 | 2020-03-18 |
| 1770117830 | Monica Tirtarahardja | Physician Assistant | 5503 S Congress Ave Ste 204, Lake Worth, FL 33462-6626 | 2020-02-27 |
| 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 | 33467 |
Please comment or provide details below to improve the information on JOSE MUNOZ SURGICAL ASSISTANT SERVICES 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.