Allied Surgical of South Florida

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9102746 Issued in FL

Legal business name

ALLIED SURGICAL OF SOUTH FLORIDA

Practice address

7201 N University Dr
Tamarac, FL 33321-2913

Phone

(954) 854-0628

NPI assigned

Aug 3, 2018

Last updated

Apr 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Storm EstelleNPI 1679594527

Title

Owner/Ambr

Phone

(954) 854-0628

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Storm A Estelle, PA-C

  • Surgical Physician Assistant
  • Tamarac, FL
  • NPI 1679594527
  Authorized official Same address or phone

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1578041208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 NW 94TH AVE UNIT 8154",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330752009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212913",
            "telephone_number": "954-854-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED SURGICAL OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "ESTELLE",
        "authorized_official_first_name": "STORM",
        "authorized_official_title_or_position": "OWNER/AMBR",
        "authorized_official_telephone_number": "954-854-0628"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven S Allen-McGee, LMFT
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• Surgical Physician Assistant in Tamarac, FL
• Providers in Tamarac, 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 Apr 2, 2020; 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.