Organization Active NPI

Surgical Assistant Innovations

  • Registered Nurse First Assistant
  • Daytona Beach, FL
National Provider Identifier
1912250515
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
2560202 Issued in FL
Legal business name
SURGICAL ASSISTANT INNOVATIONS
Practice address
132 Integra Shore Dr Unit 305
Daytona Beach, FL 32117
Phone
(708) 790-7333
NPI assigned
Oct 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Mr. Dale Vladic, CRNFANPI 1669644993
Title
President/Ceo
Phone
(708) 790-7333

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 AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 163WR0006X 2560202 FL Primary

Addresses

Primary practice location

132 Integra Shore Dr Unit 305
Daytona Beach, FL 32117

Mailing address

132 Integra Shore Dr Unit 305
Daytona Beach, FL 32117-5567
Phone (708) 790-7333

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.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1912250515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 INTEGRA SHORE DR UNIT 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175567",
            "telephone_number": "708-790-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 INTEGRA SHORE DR UNIT 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "708-790-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSISTANT INNOVATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "VLADIC",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "708-790-7333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "2560202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.