| NPI | 1811175052 |
|---|---|
| Former Legal Business Name | FT LAUDERDALE FIRST ASSIST |
| Entity Type | Organization |
| Authorized Contact | JEFFREY T GRAY CFO & Treasurer 615-345-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SM0705X Clinical Nurse Specialist Medical-Surgical |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: FL PA 3649) |
| 363AS0400X Physician Assistant Surgical | |
| 364SM0705X Clinical Nurse Specialist Medical-Surgical (Licence: FL RN 3003202) | |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2014-12-05 |