# SURGICAL PHYSICIAN ASSISTANTS LLC

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

## Provider details

- **NPI number:** 1467560896
- **Authorized official:** MR. BRIAN MICHAEL JANKE PA-C (OWNER)
- **Authorized official phone:** (321) 615-4800

## Contact information

- **Practice address:** 205 PLATT AVE, MERRITT ISLAND, FL 32952-4963
- **Practice address phone:** (321) 615-4800
- **Practice address fax:** (321) 574-0590
- **Mailing address:** PO BOX 362, COCOA, FL 32923-0362
- **Mailing address phone:** (321) 615-4800
- **Mailing address fax:** (321) 574-0590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | PA 9102122 | FL | Yes |

## Other

- **Enumeration date:** 08/27/2006
- **Last updated:** 12/08/2010