Organization Active NPI

MD Surgical Assisting LLC

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1437718236
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MD SURGICAL ASSISTING LLC
Practice address
2401 NW 82ND Ave
Pembroke Pines, FL 33024-3518
Phone
(954) 709-8908
NPI assigned
Jun 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Authorized official

Name
Maylin Davila, APRNNPI 1861957441
Title
Owner
Phone
(954) 709-8908

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
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2401 NW 82ND Ave
Pembroke Pines, FL 33024-3518

Mailing address

2401 NW 82ND Ave
Pembroke Pines, FL 33024-3518
Phone (954) 709-8908

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1437718236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 NW 82ND AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243518",
            "telephone_number": "954-709-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NW 82ND AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243518",
            "telephone_number": "954-709-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD SURGICAL ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "MAYLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-709-8908",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.