# PA SURGICAL INC

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

## Provider details

- **NPI number:** 1942313879
- **Authorized official:** NANCY T BOURG (CEO)
- **Authorized official phone:** (561) 889-1227

## Contact information

- **Practice address:** 621 NW 53RD ST STE 330, BOCA RATON, FL 33487-8281
- **Practice address phone:** (561) 440-7612
- **Practice address fax:** (866) 902-8817
- **Mailing address:** 621 NW 53RD ST STE 330, BOCA RATON, FL 33487-8281
- **Mailing address phone:** (800) 488-0279
- **Mailing address fax:** (866) 902-8817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 09/22/2020