Organization
PHYSICIAN ASSISTANT SURGICAL SERVICES, INC.
Active
Organization
PHYSICIAN ASSISTANT SURGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JOSEPH PALMERI PA-C (PRESIDENT)
(772) 337-4243
Entity
Organization
Contact information
Practice address
3002 SE BUR ST, PORT SAINT LUCIE, FL 34952-5855
(772) 337-4243
Mailing address
3002 SE BUR ST, PORT SAINT LUCIE, FL 34952-5855
(772) 337-4243
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3266
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF7491
RAILROAD MEDICARE
FL
01
—
X1624
BCBS
—
Enumeration date
07/08/2006
Last updated
11/19/2007
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