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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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