Organization
FT LAUDERDALE FIRST ASSIST, LLC
Active
Organization
FT LAUDERDALE FIRST ASSIST, LLC
Active
Other names
Ft Lauderdale First Assist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY T GRAY (CFO & TREASURER)
(615) 345-5550
Entity
Organization
Contact information
Practice address
1600 SARNO ROAD, SUITE 15, MELBOURNE, FL 32935
(800) 348-4565
(321) 610-5115
Mailing address
214 CENTERVIEW DRIVE, SUITE 100, BRENTWOOD, TN 37027
(615) 345-5450
(615) 345-5365
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA 3649
FL
364SM0705X
Medical-Surgical Clinical Nurse Specialist
RN 3003202
FL
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001019600
—
FL
Enumeration date
02/08/2008
Last updated
12/05/2014
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