Optimal Outcomes Surgical Assisting Group, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

OPTIMAL OUTCOMES SURGICAL ASSISTING GROUP, LLC

Practice address

2933 Browder St
Gulf Breeze, FL 32563-3139

Phone

(850) 542-5958

NPI assigned

Mar 30, 2017

Organization subpart

No

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

Authorized official

Name

Crystal Warner, CSA

Title

Surgical Assistant

Phone

(850) 542-5958

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1184156168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 BROWDER ST",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633139",
            "telephone_number": "850-542-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 BROWDER ST",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633139",
            "telephone_number": "850-542-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL OUTCOMES SURGICAL ASSISTING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "850-542-5958",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie O'Connor, MA, E-RYT
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• Rebekah Ruth Oday, ABOC, NCLEC,LDO
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• Leisly Tatiana Oviedo Gomez, MD

• Surgical Physician Assistant in Gulf Breeze, FL
• Providers in Gulf Breeze, 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 Mar 30, 2017; 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.