Healthcare Provider Details

I. General information

NPI: 1023418175
Provider Name (Legal Business Name): ASSOCIATED FIRST ASSISTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2014
Last Update Date: 08/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4233 W. HILLSBORO BLVD
COCONUT CREEK FL
33097-0528
US

IV. Provider business mailing address

4233 W. HILLSBORO BLVD
COCONUT CREEK FL
33097-0528
US

V. Phone/Fax

Practice location:
  • Phone: 954-227-8224
  • Fax: 954-227-7442
Mailing address:
  • Phone: 954-227-8224
  • Fax: 954-227-7442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberRN1213182
License Number StateFL

VIII. Authorized Official

Name: MRS. DEBORAH BANKER
Title or Position: PRESIDENT
Credential:
Phone: 954-227-8224