SUNSHINE SURGICAL ASSISTING L.L.C. NPI 1174167274

NPI Information

NPI: 1174167274
Provider Name: SUNSHINE SURGICAL ASSISTING L.L.C.
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
5275 JOG LN
DELRAY BEACH, FL
ZIP 33484
Phone: (606) 831-3162
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SUNSHINE SURGICAL ASSISTING L.L.C. is a surgical physician assistant in Delray Beach, FL. SUNSHINE SURGICAL ASSISTING L.L.C. NPI is 1174167274. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5275 JOG LN
DELRAY BEACH, FL
ZIP 33484-622
Phone: (606) 831-3162

The provider's authorized official is Zane Jude .
The authorized official title is Csfa and has the following contact phone number (606) 831-3162.

The enumeration date for this NPI number is 10/31/2019 and was last updated on 10/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZC0007X	Specialist/Technologist, Other	Surgical Assistant			No
2	363AS0400X	Physician Assistant	Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	182220	OTHER		CSFA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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