Organization Active NPI

First Surgical Assist LLC

  • Surgical Physician Assistant
  • West Palm Beach, FL
National Provider Identifier
1992050397
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
FIRST SURGICAL ASSIST LLC
Practice address
2580 Metrocentre Blvd Ste 1
West Palm Beach, FL 33407-3100
Phone
(561) 624-2022
Fax
(561) 478-7921
NPI assigned
Jul 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Rafael Foss, DC
Title
Managing Partner
Phone
(561) 627-2821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

2580 Metrocentre Blvd Ste 1
West Palm Beach, FL 33407-3100

Mailing address

PO Box 6455
West Palm Beach, FL 33405-6455
Phone (561) 627-2821

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1992050397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6455",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334056455",
            "telephone_number": "561-627-2821",
            "fax_number": "561-627-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 METROCENTRE BLVD STE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073100",
            "telephone_number": "561-624-2022",
            "fax_number": "561-478-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST SURGICAL ASSIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "FOSS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "561-627-2821",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "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 West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.