Healthcare Provider Details

I. General information

NPI: 1396607875
Provider Name (Legal Business Name): PRECISION SURGICAL ASSISTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7579 SUNNYDALE LN
JACKSONVILLE FL
32256-1960
US

IV. Provider business mailing address

7579 SUNNYDALE LN
JACKSONVILLE FL
32256-1960
US

V. Phone/Fax

Practice location:
  • Phone: 904-338-1771
  • Fax:
Mailing address:
  • Phone: 904-338-1771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name: MS. ALISA R PARSEGYAN
Title or Position: OWNER
Credential: CST/CSFA
Phone: 904-338-1771