Organization Active NPI

Boca Raton Surgical Assist PA

  • Registered Nurse First Assistant
  • Boca Raton, FL
National Provider Identifier
1871834978
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
2158742 Issued in FL
Legal business name
BOCA RATON SURGICAL ASSIST PA
Practice address
582 NW 12TH Ter
Boca Raton, FL 33486-3262
Phone
(561) 654-5013
NPI assigned
Mar 14, 2013
Last updated
Mar 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Robert A Milbut Jr., RNFANPI 1396093076
Title
Owner
Phone
(561) 654-5013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 2158742 FL Primary

Addresses

Primary practice location

582 NW 12TH Ter
Boca Raton, FL 33486-3262

Mailing address

9858 Clint Moore Rd
C111-274
Boca Raton, FL 33496-1034
Phone (561) 482-1144

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": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1871834978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 CLINT MOORE RD",
            "address_2": "C111-274",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961034",
            "telephone_number": "561-482-1144",
            "fax_number": "561-482-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 NW 12TH TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334863262",
            "telephone_number": "561-654-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON SURGICAL ASSIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "MILBUT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-654-5013",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "2158742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.