Provider profile · NPI 1003040932
1st Assist Of South Florida Llc
Physician Assistant, Surgical · Ft Lauderdale, FL · NPI 1003040932 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Physician Assistant, Surgical
Enumerated
May 6, 2009
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 953908 | Lake Mary, FL 32795-3908 | 407-328-0825 |
| LOCATION | 4725 N FEDERAL HWY | Ft Lauderdale, FL 33308-4603 | 954-771-8000 |
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