South Palm First Assist, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

RN9214734 Issued in FL

Legal business name

SOUTH PALM FIRST ASSIST, LLC

Practice address

4233 W Hillsboro Blvd Unit 970528
Coconut Creek, FL 33097-1228

Phone

(954) 227-8224

Fax

(954) 227-7442

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Eric Acco

Title

Manager

Phone

(954) 227-8224

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1376913681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970528",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330970528",
            "telephone_number": "954-227-8224",
            "fax_number": "954-227-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 W HILLSBORO BLVD UNIT 970528",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330971228",
            "telephone_number": "954-227-8224",
            "fax_number": "954-227-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PALM FIRST ASSIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "ACCO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-227-8224"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "RN9214734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Coconut Creek, FL
• Providers in Coconut Creek, 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 Sep 29, 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.