Organization Active NPI

Surgical Staffing Development and Services, Inc.

  • Surgical Physician Assistant
  • Miami Lakes, FL
National Provider Identifier
1760777007
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA 9101047 Issued in FL
Legal business name
SURGICAL STAFFING DEVELOPMENT AND SERVICES, INC.
Practice address
7142 Laurel LN
Miami Lakes, FL 33014-2664
Phone
(786) 252-2243
Fax
(305) 362-3989
NPI assigned
Jun 15, 2011
Last updated
Jun 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Elizabeth Hernandez
Title
Director
Phone
(786) 252-2243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA 9101047 FL Primary

Addresses

Primary practice location

7142 Laurel LN
Miami Lakes, FL 33014-2664

Mailing address

PO Box 4722
Hialeah, FL 33014-0722
Phone (786) 252-2243

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1760777007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4722",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330140722",
            "telephone_number": "786-252-2243",
            "fax_number": "305-362-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7142 LAUREL LN",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142664",
            "telephone_number": "786-252-2243",
            "fax_number": "305-362-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL STAFFING DEVELOPMENT AND SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-252-2243"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 9101047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.