Ft Lauderdale First Assist, LLC

Primary specialty

Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X

Legal business name

FT LAUDERDALE FIRST ASSIST, LLC

Practice address

1600 Sarno Road
Suite 15
Melbourne, FL 32935

Phone

(800) 348-4565

Fax

(321) 610-5115

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey T Gray

Title

Cfo & Treasurer

Phone

(615) 345-5550

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Ft Lauderdale First Assist Former legal business name

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1811175052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CENTERVIEW DRIVE",
            "address_2": "SUITE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-345-5450",
            "fax_number": "615-345-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SARNO ROAD",
            "address_2": "SUITE 15",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "800-348-4565",
            "fax_number": "321-610-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT LAUDERDALE FIRST ASSIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO & TREASURER",
        "authorized_official_telephone_number": "615-345-5550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 3649",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "FL",
            "license": "RN 3003202",
            "primary": false
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001019600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ft Lauderdale First Assist",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Annabel Frey
• Friends That Care, LLC
• Hazel Fritz, LMT
• Nicole Frohnapfel, APRN
• Brandon Daniel Frye, D.O.
• Marquita M. Fuchs, NP
• Carla D Fuentes-Blanco, ARNP
• Megan Parker Fullen
• Dyeanna Fuller, MH16249
• Emma Fuller

• Medical-Surgical Clinical Nurse Specialist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Medical-Surgical Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.