| Professional Surgical Assistants | |
|
120 Acklins Cir Apt 112 Daytona Beach FL 32119-9762 | |
| (708) 269-0669 | |
| (800) 821-4719 |
| Full Name | Professional Surgical Assistants |
|---|---|
| Speciality | Physician Assistant - Surgical |
| Location | 120 Acklins Cir Apt 112, Daytona Beach, Florida |
| Authorized Official Name and Position | Christina H Repka (OWNER) |
| Authorized Official Contact | 7082690669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Surgical Assistants Po Box 291613 Port Orange FL 32129-1613 Ph: (386) 562-7052 | Professional Surgical Assistants 120 Acklins Cir Apt 112 Daytona Beach FL 32119-9762 Ph: (708) 269-0669 |
| NPI Number | 1871143453 |
|---|---|
| Provider Enumeration Date | 09/16/2019 |
| Last Update Date | 09/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871143453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
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