Healthcare Provider Details

I. General information

NPI: 1639775794
Provider Name (Legal Business Name): ENGLAND SURGICAL ASSIST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2020
Last Update Date: 12/04/2020
Certification Date: 12/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2815 S SEACREST BLVD
BOYNTON BEACH FL
33435-7969
US

IV. Provider business mailing address

4781 N CONGRESS AVE # 3129
BOYNTON BEACH FL
33426-7941
US

V. Phone/Fax

Practice location:
  • Phone: 305-409-2512
  • Fax:
Mailing address:
  • Phone: 305-409-2512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE ENGLAND
Title or Position: MANAGER
Credential: CRNFA
Phone: 305-409-2512