Ag Surgical Assist Group LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

AG SURGICAL ASSIST GROUP LLC

Practice address

4871 NW 22ND St
Coconut Creek, FL 33063-3868

Phone

(818) 237-6588

NPI assigned

Dec 8, 2023

Organization subpart

No

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

Authorized official

Name

Angela GaletteNPI 1053094714

Title

Owner

Phone

(818) 237-6588

Specialties & licenses 1

Addresses

Practitioners 1

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

• Angela Galette, SA-C

  • Surgical Physician Assistant
  • Coconut Creek, FL
  • NPI 1053094714
  NPD Authorized official

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1467229450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 NW 22ND ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 NW 22ND ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633868",
            "telephone_number": "818-237-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG SURGICAL ASSIST GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "GALETTE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-237-6588"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "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 Dec 8, 2023; 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.