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Organization
KRAYSSA SURGICAL ASSIST, PA
Active
Organization
KRAYSSA SURGICAL ASSIST, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WATFA KRAYSSA PAC (PRESIDENT/CEO)
(954) 648-7850
Entity
Organization
Contact information
Practice address
601 NW 82ND AVE APT 331, PLANTATION, FL 33324-1397
(954) 648-7850
Mailing address
601 NW 82ND AVE APT 331, PLANTATION, FL 33324-1397
(954) 648-7850
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA9104341
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9104341
FL
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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