Organization Name: | MED-SURG PAS INC |
NPI Number: | 1801931399 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT ALLEN FRENCH (PRESIDENT OWNER) |
Mailing Address: | 5121 State Road 674 Wimauma |
State: | FL US |
Postal Code: | 335983515 |
Phone Number: | 8136338489 |
Fax Number: | 8136332669 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 10/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9100944 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |