Surgical Assistants of Central Florida

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SURGICAL ASSISTANTS OF CENTRAL FLORIDA

Practice address

1555 Boren Dr
Ocoee, FL 34761-2989

Phone

(407) 292-2156

Fax

(407) 241-2868

NPI assigned

Jun 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Richard Smith, MD

Title

President

Phone

(407) 292-2156

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1033523394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BOREN DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612989",
            "telephone_number": "407-292-2156",
            "fax_number": "407-241-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BOREN DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612989",
            "telephone_number": "407-292-2156",
            "fax_number": "407-241-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSISTANTS OF CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-292-2156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Sullivan, LCSW
• Summerville at Ocoee, Inc
• Sunstreet Speech Therapy
• Mitchell Lewis Supler, MD
• Support Coordination Services of Florida, LLC
• Surgical Assistants of Central Florida Inc
• Surgical Specialists of Central Florida Inc
• Mary Kristin Surprenant, LM
• Victoria Emma Surujlall, DNP
• Theresa Sydney I

• Surgical Physician Assistant in Ocoee, FL
• Providers in Ocoee, 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 Jun 16, 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.