Organization
SURGICAL ASSISTANT INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE VLADIC CRNFA (PRESIDENT/CEO)
(708) 790-7333
Entity
Organization
Contact information
Practice address
132 INTEGRA SHORE DR UNIT 305, DAYTONA BEACH, FL 32117
(708) 790-7333
Mailing address
132 INTEGRA SHORE DR UNIT 305, DAYTONA BEACH, FL 32117-5567
(708) 790-7333
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2560202
FL
Other
Enumeration date
10/19/2012
Last updated
06/07/2018
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