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Organization

FIRST PEAK SURGICAL ASSISTING

Active
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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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