First Peak Surgical Assisting
Organization Active NPI Surgical Physician Assistant · Melbourne Beach, FL
NPI 1982113916 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1982113916
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA9103288 (FL)
- Legal business name
- FIRST PEAK SURGICAL ASSISTING
- Practice address
- 310 Amberjack PL
Melbourne Beach, FL 32951-2906 - Phone
- (321) 684-1193
- NPI assigned
- Sep 21, 2017
- Organization subpart
- No
Authorized official
- Name
- James Daniel Moore
- Title
- President
- Phone
- (321) 684-1193
National Provider Directory
Locations
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111
95 Bulldog Blvd
#10
Melbourne, FL 32901
95 Bulldog Blvd
Ste 104
Melbourne, FL 32901
Phone (321) 952-9800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant |
363AS0400X | PA9103288 | FL | Yes |
Addresses
Primary practice location
310 Amberjack PL
Melbourne Beach, FL 32951-2906
Mailing address
310 Amberjack PL
Melbourne Beach, FL 32951-2906
Phone (321) 684-1193
Other providers in Melbourne Beach, FL
- Diane M. Digeronimo, LCSW, PA
- Diane M Digeronimo
- Catherine Mary Elsawaf
- Alexis Margaret Eppes
- Richard C Fernandez
- Thomas Vincent Gale
- Martin Gaston Garcia
- Ari Gronich
- Marisa N Haig
- Hand in Hand Pediatric Therapy LLC
All providers in Melbourne Beach, FL · Surgical Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.