Active NPI
Palm Beach Surgical First Assist, LLC
- Nurse Practitioner
- Loxahatchee, FL
National Provider Identifier
1740630094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP 2076412
- Legal business name
- PALM BEACH SURGICAL FIRST ASSIST, LLC
- Practice address
- 15135 72ND CT N
Loxahatchee, FL 33470-4457 - Phone
- (954) 227-8224
- Fax
- (954) 227-7442
- NPI assigned
- Jun 17, 2016
- Last updated
- Jun 17, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Gairala
- Title
- Manager
- Phone
- (954) 227-8224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP 2076412 | FL | Primary |
Addresses
Primary practice location
15135 72ND CT N
Loxahatchee, FL 33470-4457
Mailing address
PO Box 970528
Coconut Creek, FL 33097-0528
Phone (954) 227-8224
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466121600000",
"number": "1740630094",
"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": "15135 72ND CT N",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334704457",
"telephone_number": "954-227-8224",
"fax_number": "954-227-7442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALM BEACH SURGICAL FIRST ASSIST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-17",
"last_updated": "2016-06-17",
"status": "A",
"authorized_official_last_name": "GAIRALA",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "954-227-8224"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP 2076412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loxahatchee, FL
- Palm Beach Nephrology Partners LLC
- Palm Beach Nephrology,P.a.
- Palm Beach Pediatric Lung and Asthma Center, LLC (Palm Beach Pediatric Lung and Asthma Center)
- Palm Beach Surgical Associates, LLC
- Palm Beach Surgical First Assist Inc
- Palm Beach Thyroid and Endocrinology Wellness, LLC
- Palm Beach Urology Associates PA
- Palm West Internists PA
- Palms West Hospital
- Palms West Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.