# ADVANCED SURGICAL EVOLUTIONS

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

## Provider details

- **NPI number:** 1780923110
- **Authorized official:** MR. GARY W SLATER III CSFA (CERTIFIED SURGICAL FIRST ASSIST)
- **Authorized official phone:** (727) 204-7315

## Contact information

- **Practice address:** 1141 PALM BLVD, DUNEDIN, FL 34698-2237
- **Practice address phone:** (727) 204-7315
- **Mailing address:** PO BOX 1142, DUNEDIN, FL 34697-1142
- **Mailing address phone:** (727) 204-7315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZC0007X | Surgical Assistant | 129713 | FL | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2013
- **Last updated:** 05/21/2024