Organization
ADVANCED SURGICAL EVOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY W SLATER III CSFA (CERTIFIED SURGICAL FIRST ASSIST)
(727) 204-7315
Entity
Organization
Contact information
Practice address
1141 PALM BLVD, DUNEDIN, FL 34698-2237
(727) 204-7315
Mailing address
PO BOX 1142, DUNEDIN, FL 34697-1142
(727) 204-7315
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
129713
FL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
05/21/2024
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