Organization Name: | MIAMI FIRST ASSIST, LLC |
NPI Number: | 1013097567 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY T GRAY (CFO & TREASURER) |
Mailing Address: | 1600 Sarno Road Suite 15 Melbourne |
State: | FL US |
Postal Code: | 32935 |
Phone Number: | 8003484565 |
Fax Number: | 3216105115 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 09/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |