# ALLIED SURGICAL OF SOUTH FLORIDA

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

## Provider details

- **NPI number:** 1578041208
- **Authorized official:** STORM ESTELLE (OWNER/AMBR)
- **Authorized official phone:** (954) 854-0628

## Contact information

- **Practice address:** 7201 N UNIVERSITY DR, TAMARAC, FL 33321-2913
- **Practice address phone:** (954) 854-0628
- **Mailing address:** 3255 NW 94TH AVE UNIT 8154, CORAL SPRINGS, FL 33075-2009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | PA9102746 | FL | Yes |

## Other

- **Enumeration date:** 08/03/2018
- **Last updated:** 04/02/2020