NPIMap

Organization Active NPI

Suncoast Surgical Assisting of FL, Inc.

  • Surgical Physician Assistant
  • Brooksville, FL
National Provider Identifier
1609184258
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SUNCOAST SURGICAL ASSISTING OF FL, INC.
Practice address
17362 Pinto LN.
Brooksville, FL 34604-9066
Phone
(352) 796-2791
Fax
(352) 686-7154
NPI assigned
Sep 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Mr. Sean D. Bonner, PA
Title
President
Phone
(352) 796-2791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

17362 Pinto LN.
Brooksville, FL 34604-9066

Mailing address

17362 Pinto LN.
Brooksville, FL 34604-9066
Phone (352) 796-2791

Other names 1

  • Sean D. Bonner, P.A.C., Inc. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1609184258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17362 PINTO LN.",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346049066",
            "telephone_number": "352-796-2791",
            "fax_number": "352-686-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17362 PINTO LN.",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346049066",
            "telephone_number": "352-796-2791",
            "fax_number": "352-686-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST SURGICAL ASSISTING OF FL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-796-2791",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sean D. Bonner, P.A.C., Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.