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Organization
4A SURGICAL SERVICES, LLC
Active
Organization
4A SURGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDISSON GUAMAN PA (OWNER)
(561) 617-0686
Entity
Organization
Contact information
Practice address
12373 COLONY PRESERVE DR, BOYNTON BEACH, FL 33436-5807
(561) 617-0686
Mailing address
12373 COLONY PRESERVE DR, BOYNTON BEACH, FL 33436-5807
(561) 617-0686
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
Other
Enumeration date
06/23/2023
Last updated
10/11/2023
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