Organization
FIRST PEAK SURGICAL ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DANIEL MOORE (PRESIDENT)
(321) 684-1193
Entity
Organization
Contact information
Practice address
310 AMBERJACK PL, MELBOURNE BEACH, FL 32951-2906
(321) 684-1193
Mailing address
310 AMBERJACK PL, MELBOURNE BEACH, FL 32951-2906
(321) 684-1193
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9103288
FL
Other
Enumeration date
09/21/2017
Last updated
07/21/2022
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