Active NPI
Miller Surgical Assisting, LLC
- Surgical Physician Assistant
- Fort Lauderdale, FL
National Provider Identifier
1871990663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- MILLER SURGICAL ASSISTING, LLC
- Practice address
- 2307 W Broward Blvd Ste 200
Fort Lauderdale, FL 33312-1417 - Phone
- (305) 814-6542
- NPI assigned
- Nov 24, 2014
- 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
- Thomas Daniel Miller, OA-C, CSFA
- Title
- Ceo
- Phone
- (305) 814-6542
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | |||
| Orthopedic Assistant | 246ZX2200X | |||
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
2307 W Broward Blvd Ste 200
Fort Lauderdale, FL 33312-1417
Mailing address
PO Box 122131
Fort Lauderdale, FL 33312-0036
Phone (305) 814-6542
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493251200000",
"number": "1871990663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122131",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333120036",
"telephone_number": "305-814-6542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 W BROWARD BLVD STE 200",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333121417",
"telephone_number": "305-814-6542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLER SURGICAL ASSISTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-24",
"last_updated": "2017-04-27",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-814-6542",
"authorized_official_credential": "OA-C, CSFA"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZX2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.