Active NPI
Surgical Assisting of Broward
- Surgical Physician Assistant
- Tamarac, FL
National Provider Identifier
1073261814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- SURGICAL ASSISTING OF BROWARD
- Practice address
- 8041 NW 71St CT
Tamarac, FL 33321-2761 - Phone
- (954) 684-3410
- NPI assigned
- Mar 11, 2022
- 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
- Eileen Crigler, SURGICIAL ASSISTANT
- Title
- Surgical Assistant
- Phone
- (954) 684-3410
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
8041 NW 71St CT
Tamarac, FL 33321-2761
Mailing address
PO Box 15193
Plantation, FL 33318-5193
Phone (954) 684-3410
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739836800000",
"number": "1073261814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15193",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333185193",
"telephone_number": "954-684-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8041 NW 71ST CT",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212761",
"telephone_number": "954-684-3410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL ASSISTING OF BROWARD",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-11",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A",
"authorized_official_last_name": "CRIGLER",
"authorized_official_first_name": "EILEEN",
"authorized_official_title_or_position": "SURGICAL ASSISTANT",
"authorized_official_telephone_number": "954-684-3410",
"authorized_official_credential": "SURGICIAL ASSISTANT"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.