Miami First Assist, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

MIAMI FIRST ASSIST, LLC

Practice address

1600 Sarno Road
Suite 15
Melbourne, FL 32935

Phone

(800) 348-4565

Fax

(321) 610-5115

NPI assigned

Oct 17, 2006

Last updated

Sep 25, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeffrey T Gray, PA-C

Title

Cfo & Treasurer

Phone

(615) 345-5550

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1013097567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CENTERVIEW DRIVE",
            "address_2": "SUITE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-345-5450",
            "fax_number": "615-345-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SARNO ROAD",
            "address_2": "SUITE 15",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "800-348-4565",
            "fax_number": "321-610-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI FIRST ASSIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO & TREASURER",
        "authorized_official_telephone_number": "615-345-5550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000151200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "AH964",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Jean Adams Meyer, OTR/L
• Tonia Lynn Meyers, M.A.
• Carla Meza, DNP
• Irina S Mezheritskiy, M.D.
• James Mezheritskiy, PHARM.D
• Michael Alan Shapiro MD PA
• Michael C. Ianniello, DO
• Michael Diaz M.D. P.a.
• Kaitlyn Monique Michael
• Joshua Adam Seth Michaelman, PA-C

• Surgical Physician Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.