# PA ASSOCIATES 'LLC.'

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1891001939
- **Authorized official:** MR. ANTHONY A. MOORE PA-C (PRESIDENT)
- **Authorized official phone:** (321) 506-6781

## Contact information

- **Practice address:** 110 ORLANDO BLVD, INDIALANTIC, FL 32903-3419
- **Practice address phone:** (321) 506-6781
- **Mailing address:** PO BOX 847, ROSELAND, FL 32957-0847
- **Mailing address phone:** (321) 506-6781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | PA9104697 | FL | Yes |

## Other

- **Enumeration date:** 08/26/2010
- **Last updated:** 12/22/2011