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ADVANCED SURGICAL & PHYSICIAN ASSISTANT SERVICES INC
NPI 1053043059
Physician Assistant - Surgical in Indialantic, FL

Active since June 28, 2022
461 MALLARD LN, INDIALANTIC, FL 32903(407) 451-0192(321) 600-4004 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Surgical & Physician Assistant Services Inc NPPES

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

ADVANCED SURGICAL & PHYSICIAN ASSISTANT SERVICES INC (NPI 1053043059) is a healthcare organization registered as a surgical in Indialantic, Florida and active in the NPI registry since June 2022. The organization lists Dale P Greyslak, Owner, as its authorized official.

NPPES Registry Identity

NPI1053043059
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameADVANCED SURGICAL & PHYSICIAN ASSISTANT SERVICES INC
Location Address461 MALLARD LNIndialantic, FL 32903-4735
Mailing AddressPo Box 410185Melbourne, FL 32941-0185 · (407) 451-0192 · Fax (321) 600-4004
Phone(407) 451-0192
Fax(321) 600-4004
Organization SubpartNo
Authorized OfficialDale P GreyslakOwner · (407) 451-0192
Enumeration DateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1053043059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
461 MALLARD LN, Indialantic, FL 32903
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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 Advanced Surgical & Physician Assistant Services Inc's NPI number?

The NPI number for Advanced Surgical & Physician Assistant Services Inc is 1053043059. It was assigned to this organization in the NPPES registry on June 28, 2022.

Where is Advanced Surgical & Physician Assistant Services Inc located?

Advanced Surgical & Physician Assistant Services Inc is located at 461 Mallard Ln, Indialantic, FL 32903. The listed phone number is (407) 451-0192.

What is Advanced Surgical & Physician Assistant Services Inc'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 Advanced Surgical & Physician Assistant Services Inc was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.