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General NPI Number Information
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NPI Number | 1235016452
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Entity Type | Organization
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Legal Business Name | PREMIER SURGICAL INSTITUTE, LLC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 4500 PGA BLVD STE 301A
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-3965
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Country | US
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Telephone | 561-266-4477
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Fax | 561-973-8320
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Provider Business Mailing Address
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Address Line | 4500 PGA BLVD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-3994
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Country | US
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Telephone | 561-266-4477
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Fax | 561-973-8320
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Authorized Official
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Title or Position | OWNER
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Name | RAVI KAPADIA
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Credential | MD
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Telephone | 281-468-4062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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