Surgical Professionals, Inc

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

SURGICAL PROFESSIONALS, INC

Practice address

3005 Watson Dr
Marianna, FL 32446-2208

Phone

(850) 633-3395

NPI assigned

Aug 13, 2015

Organization subpart

No

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

Authorized official

Name

Debora Harris

Title

President

Phone

(850) 633-3395

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1285000265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 WATSON DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462208",
            "telephone_number": "850-633-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 WATSON DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462208",
            "telephone_number": "850-633-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL PROFESSIONALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-633-3395"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Marianna, FL
• Providers in Marianna, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.