OBSIDIAN SURGICAL SERVICES, LLC
NPI 1003485541
Physician Assistant - Surgical in Land O Lakes, FL

Q: What is Obsidian Surgical Services, LLC's NPI number?

The NPI number for Obsidian Surgical Services, LLC is 1003485541. It was assigned to this organization in the NPPES registry on June 19, 2021.

Q: What is Obsidian Surgical Services, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since June 19, 2021

3319 MARBLE CREST DR, LAND O LAKES, FL 34638(352) 514-3413 Get Directions Write a Review

NPPES record last updated: June 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Obsidian Surgical Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OBSIDIAN SURGICAL SERVICES, LLC (NPI 1003485541) is a healthcare organization registered as a surgical in Land O Lakes, Florida and active in the NPI registry since June 2021. The organization lists Ashlee R Mcniff, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003485541

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameOBSIDIAN SURGICAL SERVICES, LLC

Location Address3319 MARBLE CREST DRLand O Lakes, FL 34638-6082

Mailing Address3319 Marble Crest DrLand O Lakes, FL 34638-6082 · (352) 514-3413

Phone(352) 514-3413

Organization SubpartNo

Authorized OfficialAshlee R McniffCeo · (352) 514-3413

Enumeration DateJune 19, 2021

NPPES CertifiedJune 19, 2021

✔ NPI 1003485541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

3319 MARBLE CREST DR, Land O Lakes, FL 34638

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Obsidian Surgical Services, LLC's NPI number?

The NPI number for Obsidian Surgical Services, LLC is 1003485541. It was assigned to this organization in the NPPES registry on June 19, 2021.

Where is Obsidian Surgical Services, LLC located?

Obsidian Surgical Services, LLC is located at 3319 Marble Crest Dr, Land O Lakes, FL 34638. The listed phone number is (352) 514-3413.

What is Obsidian Surgical Services, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Obsidian Surgical Services, LLC was last updated on June 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.