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Organization
F&G AMERICAN SURGICAL ASSISTANTS SERVICES LLC
Active
Organization
F&G AMERICAN SURGICAL ASSISTANTS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHANS FERNANDEZ SA-C (MGR/AMBR)
(407) 755-9495
Entity
Organization
Contact information
Practice address
1625 S KIRKMAN RD APT 9204, ORLANDO, FL 32811-2579
(407) 926-0010
(407) 395-2587
Mailing address
1625 S KIRKMAN RD APT 9204, ORLANDO, FL 32811-2579
(407) 755-9495
(407) 395-2587
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
04/07/2022
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