Healthcare Provider Details

I. General information

NPI: 1780517052
Provider Name (Legal Business Name): ATKINS FIRST ASSIST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 REMBRANDT AVE
PONTE VEDRA FL
32081-5022
US

IV. Provider business mailing address

716 REMBRANDT AVE
PONTE VEDRA FL
32081-5022
US

V. Phone/Fax

Practice location:
  • Phone: 904-735-3838
  • Fax:
Mailing address:
  • Phone: 904-735-3838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. BARRY LINCOLN ATKINS
Title or Position: CEO
Credential: CSFA
Phone: 904-735-3838