NPI 1528456548

Florida Practitioners, LLC

Organisation Surgical Physician Assistant Ft Lauderdale, FL

Practice location

Address: 1995 E Oakland Park Blvd STE 250, Ft Lauderdale, FL 33306-1149
Phone: (615) 657-4805
Fax: (954) 337-2733
Mailing address: PO Box 936535, Atlanta, GA 31193-6535

Authorised official

Name: John Tobias Gray
Title: Ceo
Phone: (954) 791-6146

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA3649 (FL)

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Registry record

NPI: 1528456548
Entity type: Organization
NPI issued: 29 Dec 2014
Record last updated: 23 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.