Organization Active NPI

GC Surgical LLC

  • Surgical Physician Assistant
  • Boynton Beach, FL
National Provider Identifier
1164267746
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
GC SURGICAL LLC
Practice address
12361 Hagen Ranch Rd # 5032068
Boynton Beach, FL 33437-4174
Phone
(305) 799-7500
Fax
(561) 516-6538
NPI assigned
Jun 26, 2024
Last updated
Dec 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Mrs. Georgette Carolini, CSFANPI 1336999135
Title
Manager
Phone
(305) 799-7500

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)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NU Primary

Addresses

Primary practice location

12361 Hagen Ranch Rd # 5032068
Boynton Beach, FL 33437-4174

Mailing address

12361 Hagen Ranch Rd # 5032068
Boynton Beach, FL 33437-4174
Phone (305) 799-7500

National Provider Directory

National Provider Directory

Locations

12361 Hagen Ranch Rd
Boynton Beach, FL 33437
Phone (305) 799-7500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1164267746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 HAGEN RANCH RD # 5032068",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334374174",
            "telephone_number": "305-799-7500",
            "fax_number": "561-516-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 HAGEN RANCH RD # 5032068",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334374174",
            "telephone_number": "305-799-7500",
            "fax_number": "561-516-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GC SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "CAROLINI",
        "authorized_official_first_name": "GEORGETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-799-7500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.