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1447958434
SOUTHLAKE SURGICAL ASSISTANT SERVICES LLC
BOYNTON BEACH, FL
NPI
1447958434
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Entity Type
Organization
Authorized Contact
DANIEL ANGELO GRANADOS
Owner
954-599-7778
Organization Subpart ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2023-02-20
Last Update Date
2023-02-20
Business Address
SOUTHLAKE SURGICAL ASSISTANT SERVICES LLC
20 VIA DE CASAS SUR APT 204
BOYNTON BEACH, FL 33426-8850
Phone number: 954-599-7778
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Mailing Address
SOUTHLAKE SURGICAL ASSISTANT SERVICES LLC
20 VIA DE CASAS SUR APT 204
BOYNTON BEACH, FL 33426-8850
Phone number: 954-599-7778
Copy
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