# 4A SURGICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073299079
- **Authorized official:** EDISSON GUAMAN PA (OWNER)
- **Authorized official phone:** (561) 617-0686

## Contact information

- **Practice address:** 12373 COLONY PRESERVE DR, BOYNTON BEACH, FL 33436-5807
- **Practice address phone:** (561) 617-0686
- **Mailing address:** 12373 COLONY PRESERVE DR, BOYNTON BEACH, FL 33436-5807
- **Mailing address phone:** (561) 617-0686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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