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1780247189
OCEANSIDE ELITE SURGICAL ASSISTING, LLC
FORT LAUDERDALE, FL
NPI
1780247189
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Entity Type
Organization
Authorized Contact
SHELBY ALLISON LANE
President
954-257-7859
Organization Subpart ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2019-04-21
Last Update Date
2019-09-16
Business Address
OCEANSIDE ELITE SURGICAL ASSISTING, LLC
3319 NE 15TH CT
FORT LAUDERDALE, FL 33304-1709
Phone number: 954-257-7859
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Mailing Address
OCEANSIDE ELITE SURGICAL ASSISTING, LLC
3319 NE 15TH CT
FORT LAUDERDALE, FL 33304-1709
Phone number: 954-257-7859
Copy
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