# SPECIALTYCARE SURGICAL ASSIST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgical Assist, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740395748
- **Authorized official:** MR. JEFFREY T GRAY (CFO & TREASURER)
- **Authorized official phone:** (615) 345-5550

## Contact information

- **Practice address:** 2240 W WOOLBRIGHT RD STE 210, BOYNTON BEACH, FL 33426-6363
- **Practice address phone:** (800) 348-4565
- **Practice address fax:** (615) 345-5405
- **Mailing address:** 3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5005
- **Mailing address phone:** (615) 345-5400
- **Mailing address fax:** (615) 345-5405

## Taxonomy

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

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 12/20/2018