| NPI | 1104194448 |
|---|---|
| Doing Business As | SURGICAL FIRST ASSISTING OF PORT ORANGE |
| Entity Type | Organization |
| Authorized Contact | ROBERT D MEYERS Owner 386-767-6802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP 2732292) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2014-09-30 |