Palm Beach Surgical First Assist Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PALM BEACH SURGICAL FIRST ASSIST INC

Practice address

13001 Southern Blvd
Loxahatchee, FL 33470-9203

Phone

(954) 227-8224

NPI assigned

Jun 6, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Edward Gairala, ARNP

  • Nurse Practitioner
  • Royal Palm Beach, FL
  • NPI 1770958498
  Medicare reassignment NPD

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": "1508425307",
    "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": "13001 SOUTHERN BLVD",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709203",
            "telephone_number": "954-227-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH SURGICAL FIRST ASSIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "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": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016513300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palm Beach General Surgery LLC
• Palm Beach Nephrology Partners LLC
• Palm Beach Nephrology,P.a.
• Palm Beach Pediatric Lung and Asthma Center, LLC
• Palm Beach Surgical Associates, LLC
• Palm Beach Surgical First Assist, LLC
• Palm Beach Thyroid and Endocrinology Wellness, LLC
• Palm Beach Urology Associates PA
• Palm West Internists PA
• Palms West Hospital

• Nurse Practitioner in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Nurse Practitioner in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.