# ADVANCED SURGICAL ASSOCIATES PA

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

## Provider details

- **NPI number:** 1073793063
- **Authorized official:** DR. HADI ASSAD SHALHOUB D,O. (OWNER)
- **Authorized official phone:** (772) 581-8900

## Contact information

- **Practice address:** 13835 US HIGHWAY 1, SEBASTIAN, FL 32958-3232
- **Practice address phone:** (772) 581-8900
- **Practice address fax:** (772) 581-4478
- **Mailing address:** 3660 20TH ST, SUITE 2, VERO BEACH, FL 32960-2408
- **Mailing address phone:** (772) 581-8900
- **Mailing address fax:** (772) 581-4478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | OS 7619 | FL | — |
| 2086S0129X | Vascular Surgery Physician | OS 7619 | FL | Yes |

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 10/08/2008