Organization Active NPI

VC-PA First Assist, LLC

  • Surgical Physician Assistant
  • Tampa, FL
National Provider Identifier
1104293380
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9105825 Issued in FL
Legal business name
VC-PA FIRST ASSIST, LLC
Practice address
10006 Cross Creek Blvd
#449
Tampa, FL 33647-2595
Phone
(727) 348-4472
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Valerie Cosamano, PA-C
Title
MNGR
Phone
(727) 348-4472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA9105825 FL Primary

Addresses

Primary practice location

10006 Cross Creek Blvd
#449
Tampa, FL 33647-2595

Mailing address

10006 Cross Creek Blvd
#449
Tampa, FL 33647-2595
Phone (727) 348-4472

National Provider Directory

National Provider Directory

Locations

10006 Cross Creek Blvd
Tampa, FL 33647
Phone (813) 676-3636

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1104293380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10006 CROSS CREEK BLVD",
            "address_2": "#449",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472595",
            "telephone_number": "727-348-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10006 CROSS CREEK BLVD",
            "address_2": "#449",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472595",
            "telephone_number": "727-348-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VC-PA FIRST ASSIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "COSAMANO",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "MNGR",
        "authorized_official_telephone_number": "727-348-4472",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9105825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.