Provider profile · NPI 1356620389
1st Assist Of South Florida, Llc
Physician Assistant, Surgical · Pompano Beach, FL · NPI 1356620389 · 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
Aug 9, 2011
License(s)
PA9102647 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1419 BANYAN CIR | Pompano Beach, FL 33069-4976 | 954-978-0381 |
| LOCATION | 1419 BANYAN CIR | Pompano Beach, FL 33069-4976 | 954-978-0381 |
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