Organization
OBSIDIAN SURGICAL SERVICES, LLC
Active
Organization
OBSIDIAN SURGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEE R MCNIFF (CEO)
(352) 514-3413
Entity
Organization
Contact information
Practice address
3319 MARBLE CREST DR, LAND O LAKES, FL 34638-6082
(352) 514-3413
Mailing address
3319 MARBLE CREST DR, LAND O LAKES, FL 34638-6082
(352) 514-3413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/19/2021
Last updated
06/19/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up