Healthcare Provider Details

I. General information

NPI: 1356281364
Provider Name (Legal Business Name): SURGICAL ASSISTING OF BROWARD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15707 ROCKFIELD BLVD STE 250
IRVINE CA
92618-2871
US

IV. Provider business mailing address

15707 ROCKFIELD BLVD STE 250
IRVINE CA
92618-2871
US

V. Phone/Fax

Practice location:
  • Phone: 866-216-3514
  • Fax: 866-216-3514
Mailing address:
  • Phone: 866-216-3514
  • Fax: 866-216-3514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208U00000X
TaxonomyClinical Pharmacology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHARLENE KESLER
Title or Position: DIRECTOR
Credential: DR
Phone: 866-216-3514