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Organization

FIRST SURGICAL ALLIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ENRIQUE RODRIGUEZ LSA (OWNER)
(856) 203-5655
Entity
Organization

Contact information

Practice address
765 CREEKWATER TER, 205, LAKE MARY, FL 32746-6061
(856) 203-5655
Mailing address
765 CREEKWATER TER, 205, LAKE MARY, FL 32746-6061
(856) 203-5655

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA0118
DC
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
03/10/2015
Last updated
03/10/2015
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