Organization
STAT SURGICAL FIRST ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER RAMOS CSFA (OWNER)
(561) 603-7564
Entity
Organization
Contact information
Practice address
1581 SW BAYSHORE BLVD, PORT ST LUCIE, FL 34983
(561) 603-7564
Mailing address
1581 SW BAYSHORE BLVD, PORT ST LUCIE, FL 34983-2967
(561) 603-7564
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
06/20/2018
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