Organization
SUNSHINE SURGICAL ASSISTING L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZANE JUDE (CSFA)
(606) 831-3162
Entity
Organization
Contact information
Practice address
5275 JOG LN, DELRAY BEACH, FL 33484-6622
(606) 831-3162
Mailing address
5275 JOG LN, DELRAY BEACH, FL 33484-6622
(606) 831-3162
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182220
CSFA
—
Enumeration date
10/31/2019
Last updated
10/25/2021
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