Mobile Surgical Services Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA2293 Issued in FL

Legal business name

MOBILE SURGICAL SERVICES INC

Practice address

10110 NW 49TH St
Coral Springs, FL 33076-1710

Phone

(561) 319-6901

Fax

(954) 757-6019

NPI assigned

Sep 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Washington Cabezas, PA

Title

President

Phone

(561) 319-6901

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1043469257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 NW 49TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761710",
            "telephone_number": "561-319-6901",
            "fax_number": "954-757-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 NW 49TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761710",
            "telephone_number": "561-319-6901",
            "fax_number": "954-757-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE SURGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "CABEZAS",
        "authorized_official_first_name": "WASHINGTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-319-6901",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA2293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Coral Springs, FL
• Providers in Coral Springs, 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 11, 2008; 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.