Organization
PREMIER SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN A DUFFY (MEMBER)
(561) 251-1309
Entity
Organization
Contact information
Practice address
10297 SW WEST PARK AVE, PORT ST LUCIE, FL 34987-2118
(561) 251-1309
(772) 345-6120
Mailing address
10297 SW WEST PARK AVE, PORT ST LUCIE, FL 34987-2118
(561) 251-1309
(772) 345-6120
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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