NPIMap

Organization Active NPI

Medsurge.LLC

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1588048219
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
159591 Issued in FL
Legal business name
MEDSURGE.LLC
Practice address
11532 Westwood Blvd Apt 615
Orlando, FL 32821-7398
Phone
(321) 946-3584
NPI assigned
Jul 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Amine Bouri, CSFANPI 1811365208
Title
Surgical Assist
Phone
(321) 946-3584

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
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 159591 FL Primary

Addresses

Primary practice location

11532 Westwood Blvd Apt 615
Orlando, FL 32821-7398

Mailing address

11532 Westwood Blvd Apt 615
Orlando, FL 32821-7398

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": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1588048219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11532 WESTWOOD BLVD APT 615",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328217398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11532 WESTWOOD BLVD APT 615",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328217398",
            "telephone_number": "321-946-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSURGE.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "BOURI",
        "authorized_official_first_name": "AMINE",
        "authorized_official_title_or_position": "SURGICAL ASSIST",
        "authorized_official_telephone_number": "321-946-3584",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "159591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.