Active NPI
Palm Beach First Assist, LLC
- Surgical Physician Assistant
- Melbourne, FL
National Provider Identifier
1053647982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- PALM BEACH FIRST ASSIST, LLC
- Practice address
- 1600 Sarno Road
Suite 15
Melbourne, FL 32935 - Phone
- (800) 348-4565
- Fax
- (321) 610-5115
- NPI assigned
- Oct 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey T Gray
- Title
- Cfo & Treasurer
- Phone
- (615) 345-5550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
1600 Sarno Road
Suite 15
Melbourne, FL 32935
Mailing address
3 Maryland Farms Ste 200
Brentwood, TN 37027-5780
Phone (615) 345-5450
Other names 1
- PALM BEACH FIRST ASSIST LLC
National Provider Directory
National Provider DirectoryLocations
1600 Sarno Rd
Ste 15
Melbourne, FL 32935
Phone (800) 345-4565
6767 N Wickham Rd
Ste A213
Melbourne, FL 32940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545264000000",
"number": "1053647982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MARYLAND FARMS STE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275780",
"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": "PALM BEACH FIRST ASSIST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-28",
"last_updated": "2018-12-20",
"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."
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PALM BEACH FIRST ASSIST LLC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "PALM BEACH FIRST ASSIST LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.