Active NPI
Surgical Peace LLC
- Surgical Physician Assistant
- Fort Lauderdale, FL
National Provider Identifier
1881357101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- SURGICAL PEACE LLC
- Doing business as
- Surgical PEACE LLC
- Practice address
- 4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603 - Phone
- (954) 771-8000
- NPI assigned
- Oct 14, 2021
- Last updated
- Oct 14, 2021
- 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
- Janhoi T Chambers, CSFA
- Title
- Csfa
- Phone
- (561) 386-7295
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | ||
| Surgical Physician Assistant | 363AS0400X | NU | Primary | |
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Mailing address
420 3Rd Ave S Apt 2
Lake Worth, FL 33460-4204
Other names 1
- Surgical PEACE LLC
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Surgical Physician Assistant
- Lake Worth, FL
- NPI 1760145080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634169600000",
"number": "1881357101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 3RD AVE S APT 2",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334604204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084603",
"telephone_number": "954-771-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL PEACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-14",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A",
"authorized_official_last_name": "CHAMBERS",
"authorized_official_first_name": "JANHOI",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CSFA",
"authorized_official_telephone_number": "561-386-7295",
"authorized_official_credential": "CSFA"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Surgical PEACE LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.