Organization
SPECIALTYCARE SURGICAL ASSIST, LLC
Active
Other names
Surgical Assist, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY T GRAY (CFO & TREASURER)
(615) 345-5550
Entity
Organization
Contact information
Practice address
2240 W WOOLBRIGHT RD STE 210, BOYNTON BEACH, FL 33426-6363
(800) 348-4565
(615) 345-5405
Mailing address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5005
(615) 345-5400
(615) 345-5405
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292913900
—
FL
Enumeration date
08/20/2006
Last updated
12/20/2018
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