NPI Code Detail JSON Logo

1659172724 NPI number — CHARLES'S SURGICAL ASSISTANT GROUP LLC

NPI Number: 1659172724
Health Care Provider/Practitioner: CHARLES'S SURGICAL ASSISTANT GROUP LLC

Information about “1659172724” NPI (CHARLES'S SURGICAL ASSISTANT GROUP LLC) exists in 1659172724 in HTML format HTML  |  1659172724 in plain Text format TXT  |  1659172724 in PDF (Portable Document Format) PDF  |  1659172724 in an XML format XML  formats.

NPI Number : 1659172724 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659172724",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CHARLES'S SURGICAL ASSISTANT GROUP LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "335 NW 34TH ST APT 203",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POMPANO BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33064-2820",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-451-8504",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "335 NW 34TH ST APT 203",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POMPANO BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33064-2820",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-451-8504",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/24/2025",
    "LastUpdateDate": "03/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHARLES",
    "AuthorizedOfficialFirstName": "NONO",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PA, SA-C",
    "AuthorizedOfficialTelephoneNumber": "954-451-8504",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363AS0400X",
        "TaxonomyName": "Surgical Physician Assistant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.