# CHARLES'S SURGICAL ASSISTANT GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Charles's Surgical Assistant Group LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659172724
- **Authorized official:** NONO CHARLES PA, SA-C (CEO)
- **Authorized official phone:** (954) 451-8504

## Contact information

- **Practice address:** 335 NW 34TH ST APT 203, POMPANO BEACH, FL 33064-2820
- **Practice address phone:** (954) 451-8504
- **Mailing address:** 335 NW 34TH ST APT 203, POMPANO BEACH, FL 33064-2820
- **Mailing address phone:** (954) 451-8504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2025
- **Last updated:** 03/25/2025