SPECIALTYCARE SURGICAL ASSIST, LLC (NPI# 1740395748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740395748 |
| Entity Type | Organization |
| Organization Name | SPECIALTYCARE SURGICAL ASSIST, LLC |
| Other Organization Name | SURGICAL ASSIST, LLC |
| Practice Address |
2240 W Woolbright Rd Ste 210 Boynton Beach FL 33426-6363 |
| Mailing Address |
3 Maryland Farms Ste 200 Brentwood TN 37027-5005 |
| Practice Telephone | 8003484565 |
| Practice Fax Number | 6153455405 |
| Mailing Telephone | 6153455400 |
| Mailing Fax Number | 6153455405 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-12-20 |
| Authorized Official Name | MR. JEFFREY T GRAY (CFO & TREASURER) |
| Authorized Official Telephone | 6153455550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 292913900 | 05 |
| Other Name | Type Code |
|---|---|
| Surgical Assist, LLC | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SPECIALTYCARE SURGICAL ASSIST, LLC | 3 Maryland Farms Ste 200, Brentwood, TN 37027 |
| Street Address |
2240 W WOOLBRIGHT RD STE 210 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33426-6363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154523876 | David J Morales | Registered Nurse | 2240 W Woolbright Rd Ste 210, Boynton Beach, FL 33426-6363 | 2007-06-04 |
| 1235221490 | Arturo Silva | Physician Assistant | 2240 W Woolbright Rd Ste 210, Boynton Beach, FL 33426 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231690 | Gail J Laufer Inc | Clinic/Center | 1660 Ren. Commons Blvd, 2411, Boynton Beach, FL 33426 | 2020-06-30 |
| 1497399125 | Roots To Recovery, LLC | Substance Abuse Rehabilitation Facility | 514 Nw 7th Court, Boynton Beach, FL 33426 | 2019-11-06 |
| 1609429547 | Roman Health Pharmacy LLC | Pharmacy | 3602 Quantum Blvd, Boynton Beach, FL 33426 | 2019-07-19 |
| 1710457783 | Immersion Residential LLC | Substance Abuse Rehabilitation Facility | 900 N Congress Ave, Boynton Beach, FL 33426 | 2018-12-03 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1699292979 | Vitae Services of The Palm Beaches, Inc. | Home Health | 517 Industrail Ave., Boynton Beach, FL 33426 | 2017-08-28 |
| 1063933075 | Perla G Salazar | Dentist | 1690 Renaissance Commons Blvd Apt 1625, Boynton Beach, FL 33426 | 2017-06-29 |
| 1801339411 | Marianna Zadov, P.a | Dentist | 1301 N Congress Ave #110, Boyton Beach, FL 33426 | 2016-11-30 |
| 1366801334 | Medical Consultants of Florida | Non-Pharmacy Dispensing Site | 1485 Gateway Blvd Ste 102, Boynton Beach, FL 33426 | 2016-02-18 |
| 1396114443 | Beachway Therapy Center LLC | Substance Abuse Rehabilitation Facility | 2600 Quantum Blvd, Suite B, 1st Floor, Boynton Beach, FL 33426 | 2015-09-18 |
| Find all providers in zip 33426 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154703163 | Jeanie Moran | Physician Assistant | 9394 Cobblestone Brooke Ct, Boynton Beach, FL 33472 | 2015-06-25 |
| 1578623070 | William X Fincke | Physician Assistant | 9904 Pavarotti Ter, #103, Boynton Beach, FL 33437-3372 | 2006-12-12 |
| 1831171289 | James Manning | Physician Assistant | 6056 Boynton Beach Blvd. Suite 215, Boynton Beach, FL 33437 | 2005-11-18 |
| 1134584519 | Nissy Surgical 1st Assist LLC | Physician Assistant | 10752 Emilia Isles Ter, Boynton Beach, FL 33473-4965 | 2015-12-29 |
| 1922425420 | Saira Khan | Physician Assistant | 8645 W Boynton Beach Blvd, Boynton Beach, FL 33472-4415 | 2014-03-21 |
| 1477692986 | Erica Lynn Sahlgren | Physician Assistant | 2800 S Seacrest Blvd, Suite 200, Boynton Beach, FL 33435-7960 | 2007-02-05 |
| 1790854545 | Elke Ojeda Ulloa | Physician Assistant | 2800 S Seacrest Blvd, Ste 200, Boynton Beach, FL 33435-7960 | 2006-11-07 |
| 1235221490 | Arturo Silva | Physician Assistant | 2240 W Woolbright Rd Ste 210, Boynton Beach, FL 33426 | 2006-09-28 |
| 1366424764 | William Ulrich | Physician Assistant | 7593 Boynton Beach Blvd, Ste 280, Boynton Beach, FL 33437-6154 | 2005-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33426 |
Please comment or provide details below to improve the information on SPECIALTYCARE SURGICAL ASSIST, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.