| Organization Name: | SURG MED ASSISTANTS |
| NPI Number: | 1053470849 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MANUEL VILA (PRESIDENT) |
| Mailing Address: | 8102 Nw 158th Ter Miami Lakes |
| State: | FL US |
| Postal Code: | 330167119 |
| Phone Number: | 3055860717 |
| Fax Number: | 3058199714 |
| NPI Enumeration Date: | 12/07/2006 |
| NPI Last Update Date: | 07/09/2007 |
| 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: | |