Organization
PROFESSIONAL SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ROWE CRNFA (OWNER)
(954) 382-2930
Entity
Organization
Contact information
Practice address
10190 SW 3RD ST, PLANTATION, FL 33324-2234
(954) 382-2930
Mailing address
10190 SW 3RD ST, PLANTATION, FL 33324-2234
(954) 382-2930
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9107526
FL
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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