Organization
SURGICAL ASSISTANT SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W BOOHER PAC (CO OWNER)
(954) 629-0250
Entity
Organization
Contact information
Practice address
1100 NE 45TH ST, SUITE 102, OAKLAND PARK, FL 33334-3814
(954) 629-0250
Mailing address
1100 NE 45TH ST, SUITE 102, OAKLAND PARK, FL 33334-3814
(954) 629-0250
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y04T2
BC BS FL
FL
Enumeration date
04/28/2009
Last updated
10/13/2015
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