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Organization
PALM BEACH SURGICAL FIRST ASSIST, LLC
Active
Organization
PALM BEACH SURGICAL FIRST ASSIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD GAIRALA (MANAGER)
(954) 227-8224
Entity
Organization
Contact information
Practice address
15135 72ND CT N, LOXAHATCHEE, FL 33470-4457
(954) 227-8224
(954) 227-7442
Mailing address
PO BOX 970528, COCONUT CREEK, FL 33097-0528
(954) 227-8224
(954) 227-7442
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 2076412
FL
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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