Professional Surgical Assistants, Inc.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

PROFESSIONAL SURGICAL ASSISTANTS, INC.

Practice address

7770 Hawthorne Ave
Miami Beach, FL 33141-1038

Phone

(305) 968-1829

Fax

(305) 866-2486

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Miguel P Letourneaut, P.A.

Title

President

Phone

(305) 968-1829

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1699864579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 HAWTHORNE AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331411038",
            "telephone_number": "305-968-1829",
            "fax_number": "305-866-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 HAWTHORNE AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331411038",
            "telephone_number": "305-968-1829",
            "fax_number": "305-866-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SURGICAL ASSISTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "LETOURNEAUT",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-968-1829",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291871400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.